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석종식,김국기,김현집,채진,최길수,심보성 대한신경외과학회 1975 Journal of Korean neurosurgical society Vol.4 No.1
Spontaneous intracerebral hemorrhage is generally very uncommon in young adult life, moreover in infancy or childhood. The etiology of spontaneous intracerebral hemorrhage has been discussed in some detail, but the exact underlying causes, in many cases, remain in doubt. The clinical and radiological characteristics are same as ones of intracerebral hemorrhage in adulthood and the traditional methods in diagnostic approach or treatment are still available. We recently experienced a case of spontaneous intracerebral hematoma mainly located in the lateral Portion of the basal ganglia in a 12 years old boy. He was admitted to our hospital through the emergency room with suddenly developed left side hemiplegia. There was no evidence of head trauma. Right side carotid angiogram revealed the hematoma. Upon surgery a large hematoma was noted in the lateral portion of the basal ganglia and its complete removal was quite possible. Recovery of the motor disturbance was discernibly rapid and he was discharged on foot on the postoperative 45th day.
석종식,김종현,김현집,최길수,심보성 대한신경외과학회 1975 Journal of Korean neurosurgical society Vol.4 No.2
In 1861, Rokitansky first reported a unusual syndrome compatible with neurocutaneous melanosis, but it was coined by Van Bogaert in 1948. Neurocutaneous melanosis is a very much rarer?and less well-known member of phakomatoses. A review of the published material showed that only 40 cases of this syndrome had been reported until 1968 by Fox. It has been defined as a congenital disease which is manifested by parallel development of benign melanotic pigmentation of central nervous system and pigmented nevi of the skin. We have recently experienced a case of neurocutaneous melanosis. A 23 years old female was admitted to our hospital with complaints of generalized cafe' au lait spots and giant nevi on the back and the left thigh accompanying severe headache, vomiting and right hearing disturbance. Diagnostic studies did not suggest any intracranial space-taking lesion except for evident hydrocephalus. Under the impression of Von Recklinghausens' disease with right acoustic neurinoma the posterior fossa exploration was performed but no space taking lesion was noted. Numerous dark black-brownish pigmentation was spread over the leptomeninges of the cisterna magna, brain stem, and right cerebellum. The increased intracranial pressure signs were completely relieved by ventriculo-atrial shunt. On biopsy it was identified as leptomeningeal melanin pigmentation. Detail consideration of neueurocutaneous melanosis was, introduced with review of ever reported cases.
석종식,김정식,한대희,심보성 대한신경외과학회 1977 Journal of Korean neurosurgical society Vol.6 No.2
Mycotic aneurysms are produced by an infected embolus from vegetations on the heart valves in bacterial endoarditis, which breaks off and lodges in the cerebral blood vessels. The wall of the embolized vessel becomes infected, invasion by inflammatory cells and necrosis of the wall are often followed by rupture and formation of a aneurysmal sac. These anenrysms are very rare in incidence and are usually located more peripherally in the vascular tree than berry aneurysms, are more irregular in shape and are not necessarily located at bifurcations. Recently we experienced a case of mycotic aneurysm with intracerebral hematoma which had developed in a subacute bacterial endocarditis patient. The patient was 44 years old mole patient with dilated right pupil and left hemiplegia. He was treated surgically by evacuation of intracerebral hematoma and excision of mycotic aneurysm. We also experienced another case of mycotic aneurysm with intracerebral hematoma in 17 years old male patient who had been suffered from fever of unknown origin. He was also treated surgically. We now reports 2 cases of mycotic aneurysm with intracerebral hematoma with a brief review of the literatures.
석종식,김종현,김현집,채진,심보성 대한신경외과학회 1975 Journal of Korean neurosurgical society Vol.4 No.2
The purpose of this study is to analyze the statistics of length and obliquity of the transverse processes, transitional vertebra, spina bifida and lumbar rib in the lumbar spine A-P films of 500 cases by random sample. The length of the transverse process was compared with the shortest distance of from the outmost point of it to the vertical line which was given at the spinous process of the corresponding vertebral body. The obliquity of the transverse process was represented by ange shaped by the central vertical line of the vertebral body and the central line of its transverse process. Transitional vertebra were identified by counting down from the C₁ or T₁ vertebral body. No difficulty was encountered in distinguishing spina bifida and lumbar rib. Thee results were as follows: 1. In the typical lumbar spine, the length of the L₃ transverse process was the longest of all the transverse processes except for that of L_(5) and the direction of the transverse process was horizontal in the L₁, L₂ and L₃ but a little oblique upward in the L₄ and L_(5). 2. Lumbarization was slightly higher than sacralization in incidence. 3. The incidence of spina bifida was 11.8% and mainly observed in male. 4. The incidence of lumbar rib was 1.8% and all were attached to the Ll.