뇌실질내에 발생한 뇌 동정맥기형 1례

卞博章,崔淳官,李仁洙 순천향대학교 1996 Journal of Soonchunhyang Medical Science Vol.2 No.4

소뇌에 발생한 정맥성 혈관종 1예

변박장,권귀향 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

The author report a case of venous malformation within cerebellar hemisphere presenting of hemorrhage. A 35-year-old male was admitted due to sudden onset of vertigo 1 week before admission. Computed tomography (CT) showed lobar shape intracebellar hemorrhage, subcortical cerebellar hemorrhage. Follow up enhanced CT scan showed a large curbilinear draining vein. conventional angiogram disclosed pathognomomic "caput medusae " or "star cluster" shape venous malformation. After conservative treatment for 2 months, subjective symptoms were near totally recovered.

소뇌에 발생한 결핵성 뇌농양 1례

변박장,문충배,이인수 대한신경외과학회 1978 Journal of Korean neurosurgical society Vol.7 No.2

The authors describe a case of tuberculous abscess of the cerebellum that originating , probably from pulmonary lesion. The development of such a lesion indicates a persistence of infection and an immunological breakdown which may partly have been due to unsatisfactory chemotherapy and protein malnutrition. Tuberculous brain abscess, an encapsulated collection of pus containing viable tubercle bacilli, is quite rare and it is different from tuberculoma in several points. Only five cases of tuberculous abscess have been fully documented and bacteriologically confirmed. The clinical, laboratory, and histopathological findings of those reported cases and the author's have been discussed.

뇌수술 전후의 혈장 AVP 변동에 대한 연구

변박장,이인수 대한신경외과학회 1984 Journal of Korean neurosurgical society Vol.13 No.1

The author studied the changes of the plasma arginine vasopressin(AVP) levels in 10 brain surgery patient to evaluate the water balance during the postoperative period. The control group was 15 normally hydrated adult subjects. The plasma AVP levels were measured by the radioimmunoassays(RIA). The plasma and urine osmolality was also measured simultaneously using the conventional method. The followings were presented here - in as the results. 1) In control group, the average plasma AVP level was 2.00pg/mL with the range of 0.4 to 5.6 pg /mL. There was relative constant relationship between the plasma AVP and the plasma osmolality. The osmotic threshold was 280.4 mosm/Kg. 2) In preoperative brain surgery group, the plasma AVP level was similar to control group but the range was wider than control group. There was no constant relationship between the plasma AVP level and the plasma osmolality. 3) The plasma AVP levels were markedly increased in the postoperative brain surgery group. The average level was 10.99 pg/mL ranging 0.4 to 47.50 pg/mL. In spite of increased plasma AVP concentration, the plasma osmolality and urine /plasma osmolality (Uosm/Posm) ratios were relatively constant to normal control and preoperative brain surgery group. 4) The relationship between the plasma AVP level and the Uosm/Posm ratio was changed according to the plasma AVP level but above 3.0 pg/mL it was nearly constant.

腰痛의 治療

변박장 한국의학사 1983 診斷과治療 Vol.3 No.11

韓國人 小兒에서 發生한 腦腫瘍 58例에 對한 臨床的 考察

卞博章,林光世 대한신경외과학회 1978 Journal of Korean neurosurgical society Vol.7 No.1

It should be stressed that intracranial tumors in childhood are common. If the leukemia are excluded, intraranial neoplasms are the relatively common type of neoplasms seen in childhood. There are many different kinds of tumor which occur within the cranial cavity. These different tumors grow at different rates of speed and the diversity of location is sufficient so that there is a broad spectrum of different clinical syndromes. However, it is important to recognize the earliest symptoms because of the possibility of operable management and high cure rate on some cases. The author analyzed 58 cases of intracranial neoplasms which were histologically confirmed after operation and autopsy, seen at the Department of Neurosurgery, Jung-Ang University, Sung-Sim Hospital and National Medical Center over the recent several years. These turners were explored surgically and the diagnosis was made through histological examination. The cases were reviewed as to history, development and progression of the neurological features, laboratory findings, neuroradiological findings, operative methods and pathology. The author emphasized some interesting points and the followings were presented here-in as the results. 1) Among 58 cases of intracranial neoplasms in Korean children below 15 years old, the most common tumor was astrocytoma (36%), and the next common tumors were craniopharyngioma (15-5%), ependymoma (12%), and medulloblastoma (10.3%) in that orders. It was interesting that 3 cases of tuberculomas were found in recent three years (1975-1977) and all were located in the cerebellum. A 5 years old boy who was operated for 4th. ventricle medulloblastoma confirmed by clinicopathological finding, had another tumor, craniopharyngioma which was found at the postmortem examination. 2) The tumors were occupied on the infratentorial region in 30(51.7%) cases and supratentorial region in 28 (48.3%) cases. The most frequent tumor in supratentorial region was craniopharyngioma and in infratentorial region was cerebellar astrocytoma. And the glioma and medulloblatoma were common in turn. 3) Fifty eight cases comprised 36 males and 22 females with a ratio of 1.5 to 1. The age ranged from 5 months old to 15 years old with the peak in the incidence between 5-11 years of age. 4) The main clinical symptoms and signs were headache (84.5%), vomiting (77.6%), papilledema (67.2%), and cranial nerve dysfunction (62%). It was interesting points that neck stiffness(27.6%) and abdominal pain (15.5%) were frequent complaints which should not overlook for the symptoms of simple gastritis of tuberculous meningitis. 5) The results of operative management obtained as follows with excellent in 4, good in 8, fair in 13, and poor in 9 cases. The overall mortality rate was 41% and recurrence rate was 14% during 5 years follow up.

급성뇌압상승의 원인과 치료

변박장 한국의학사 1984 診斷과治療 Vol.4 No.6

上腕神經叢의 捻除에 對한 症例報告

卞博章,李和東,許琨 대한신경외과학회 1972 Journal of Korean neurosurgical society Vol.1 No.1

A case with avulsion of the brachial plexus following head and neck trauma is described. The use of pantopaque myelography, electromyography, axon reflex test, and sensory nerve conduction test as a diagnostic aid is stressed. The mechanism of avulsion of the brachial plexus following injury and its prognosis are discussed.

탄산가스 레이저 조사에 의한 실험적 뇌부종

변박장 중앙대학교 의과대학 의과학연구소 1984 中央醫大誌 Vol.9 No.1

The author studied the chronological changes in rat brain edema, induced by CO_2 laser irradiation (LI-group), by measuring brain water content. Water content was measured by gas-liquid chromatography (GLC). The changes of water content of laser induced brain edema was compared to that of brain edema produced by bipolar coagulation (BC-group). In both groups, water content increased significantly during the first three days after injury. It returned to nearly normal level on the fifth day, and remained unchanged thereafter. These findings suggested that the laser induced brain damage has a pattern similar ti that of traumatic origin. The clinical and histological findings were correlated well to the changes of water content. The water content of the corresponding area on the opposite side increased in most animals of high intensity LI-group but the increase was minimal. The GLC method was very convenient for determination of the extent of brain edema. Betamethasone was not so effective for brain edema induced by laser irradiation.

뇌졸증

변박장 한국의학사 1992 診斷과治療 Vol.12 No.2