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조영도,조병일,장상근 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.3
A new technique, the laserdoppler flowmetry, has been used intraoperatively to measure blood flow responses in the normal brain tissue, the traumatic brain tissue and so on. The flow estimate by.this technique is based on the assessment of the doppler shift of the low power laser light, which is scattered by moving red blood cells
거대 천막상하 뇌수막종 1예 보고 : 증례 보고 Case Report
이승호,조병일,장상근 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.4
The authers describe a case of huge tentorial meningioma in 32 year old female patient Her clinical complaints were bifrontal headache and visual impairment CT scan revealed huge supratentorial and infratentorial enhanced tumor mass. The tumor mass was removed in one stage.
요추간판탈출증 환자의 통증관리를 위한 스테로이드와 Bupivacaine의 병용요법
손형권,문창택,조준,장상근 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.9
The introduction of microdiscectomy in lumbar spine surgery has resulted in a significant decrease in postoperative pain and length of hospital stay. Intraoperative application of ling-acting local anesthetic agents and corticosteroids during lumbar discectomy have been used for the management of postoperative pain. However, the efficacy of local anesthetic agents and corticosteroids has not been reported. This study evaluated 30 patients undergoing lumbar microdiscectomy. These patients were divided into three groups. Group Ⅰ(10 patients) received intramuscular Depomedrol and intravenous Solumedrol at the start of the operation. A gelfoam soaked with Depomedrol was placed over the affected nerve root following discectomy. In addition, bupivacaine was infiltrated into the paraspinal musculature at the skin incision and during closure. Group Ⅱ(10 patients) received intramuscular bupivacaine and used a saline-soaked gelfoam. Group Ⅲ(10 patients) acted as a control group without corticosteroids and bupivacaine. Patients in Group I had a statistically significantly shorter hospital stay(8.9 days) compared to the control group(14.9 days). Patients in Group Ⅰ required less postoperative narcotic analgesia than the other groups. A larger percentage of patients in Group I reported reduction of lower back pain and radicular pain until #POD 3 compared to other froups. These results indicate that the combination of long-acting local anesthetic agents and corticosteroids can reduce postoperative discomfort and hospital stay.