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임상 및 뇌단층촬영 소견에 따른 자발성 소뇌 출혈의 예후 인자
여만수,박화성,김상용,이동열 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.12
Generally, the incidence of spontaneous cerebellar hemorrhage is about 16% of all cases of intracerebral hemorrhage, at our hospital 8.4%. Characteristics of spontaneous cerebellar hemorrhage included association with high incidence of hypdrocephalus(about 70%), high risk of mortality, and frequent occurrence of hydrocephalus. We analyzed 52 cases retrospectively using clinical findings. The cases with lower GCS on admission(esp. below 8), presence of hypertension, and brain stem compression signs showed poor prognosis. By analysis of brain CT findings, the cases with midline, large diameter of hematoma(esp. above 3㎝), severe hydrocephalus, associated extended ventricular hemorrhage, effacement or hemorrhage within quadrigeminal cistern, and presence of brain stem low density showed poor prognosis. We concluded that clinical and CT parameters will be used to predict the prognosis of spontaneous cerebellar hemorrhage.
우측 테리온을 통한 양측성 대칭성 내경동맥류의 결찰 : 증례 보고
여만수,조봉수,김대능,박화성,박상남,김상용,이동열 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.11
The known incidence of multiple aneurysm is about 5~30% in the literatures and bilateral symmetrical aneurysms are more than bilateral asymmetrical aneurysms. The microsurgical technique is so much developed to control the bilateral multiple aneurysm at one stage operation in recent The author report on case of bilateral carotid aneurysms clipped by right side pterional appraoch at one time, successfully.
재발성 성상세포종의 수술적 체험 : 증례 보고 Case Report
박화성,김대능,여만수,박상남,김상용,이동열 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.12
The treatment of recurrent supratentorial glioma is one of the most challenging and at the same time one of the oldest problem in neurosurgery, especially in case of multiple recurrence. We have experienced 15-year-old male, multiple recurrent supratentorial glioma patient who was subjected to 6 times of operation, radiation therapy and chemotherapy during 5 year follow-up period. We reviewed the literature and discussed about recurrent rate, malignant change, method of management and indicatin of reoperation in low grade glioma.
뇌지주막낭종의 수술적 치료에 대한 임상적 분석 : 직접적 제거술을 중심으로
박화성,이동열,김상용,박상남,김대능,여만수 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.10-11
Arachnoid cysts are benign developmental cysts that occur between arachnoid layers, which represent approximately 1 percent of all intracranial space-occupying lesions, their most common location being the middle cranial fossa. Current surgical treatment options for intracranial arachnoid cyst are either craniotomy and excision of cyst or shunting of cyst contents extracranially. We treated 10 cases of intracranial arachnoid cyst by excision during last two years. For the best surgical curability, we have, not only removed the cyst wall and adhesive gliotic tissue as possible, but also made the opening to basal cistern for communication. During average 8.4 months follow up, we observed, not specific morbidity and morthality, but good clinical improvement and brain expansion. As above result, if haven't specific problem, the direct surgical removal may be the primary choice for intracranial arachchnoid cyst, especially in children with noncommunicating type in sylvian.
박태식,이동열,허원,송준석,정세헌,여만수,박화성 대한척추신경외과학회 2009 Neurospine Vol.6 No.2
Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease. Pathologic changes occurred in patients with AS result in a weakened vertebral column with increased susceptibility to fractures, even though a trivial injury. Fractures usually tends to involve the lower cervical spine, but rarely, they are also occurred in thoracolumbar spine. We present our experiences of three cases of spinal fracture in patients with AS, cervical, thoracic, and lumbar spine, with a review of literatures. Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease. Pathologic changes occurred in patients with AS result in a weakened vertebral column with increased susceptibility to fractures, even though a trivial injury. Fractures usually tends to involve the lower cervical spine, but rarely, they are also occurred in thoracolumbar spine. We present our experiences of three cases of spinal fracture in patients with AS, cervical, thoracic, and lumbar spine, with a review of literatures.