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전신수,나형균,지철,박춘근,조경근,이상원,백민우,이길송,송진언,강준기,최창락 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.12
The authors report 17 cases of tuberculum sellar meningioma(TSM) operated on in our university hospitals for recent 7 years. Most of the patients were between 40 and 60 years. and women predominated in all age group. Visual symptom was the most common admitting complaint Most of the patients underwent operatiom with bifrontal or pterional approach. Recently, in 3 cases of large sue tumors, we used extensive transbasal approach and orbitozygomatic infratemporal approach. In 5 patients, total removal was not possible because of the tightly adhesion to the neighboring vital structure and cavernous sinus invasion. Surgical results were good in 11 patients. fair in 2, poor in 1 and 3 patients were died. Visual outcome improved in 6 patients. unchanged in 5 and worsened in 3. Partial resection rate was low and overall outcome better in patients with tumors 3cm or less in size. In 3 cases of large size tumors operated with extensive transbasal or orbitozygomatic infratemporal approach. overall outcome was good in all cases. A series of 17 patients of TSM is presented.
전신수,이길송,조경근,지철,나형균,송진언,최창락 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.1
Retrospective analysis of 46 patients with intracerebral hematoma showed that the attack was most frequent in sixth decade and more prevalent in female. The most common cause of the attack was hypertension(80%) and the site of hemorrhage was putamen 32%, thalamic area 15%, subcortical area 17%, cerebellum 17%, ventricle 13%, and brain stem 4%. Mortality of total cases was 36% and there was no difference of mortality in both conservatively or operatively treated group(38% in conservative group, and 35% in operative group). The prognosis of the patient was unfavorable in the group of poor pretreatment Glasgow coma scale(GCS) and those of cases demonstrated more than 30㏄ of hematoma on computerized tomography(CT) of the brain. The improvement of GCS after management was better in operative group than in the conservative group.
가톨릭의과대학 부속병원에 입원 가료받은 뇌종양환자들의 등록사업과 임상분석 및 예후
박춘근,강준기,최창략,조경근,전신수 가톨릭중앙의료원 가톨릭암센터 1994 암심포지움 Vol.- No.2
어느 질환이나 그 질환의 역학적 특성이나 임상적 특징을 파악하기 위해서는 통계자료가 필요하며 특히 종양학에 있어서는 질환의 특성상 그 어느 질환보다 통계자료가 요구된다 할 것이다. 즉 통계자료를 잘 파악함으로써 치료법의 개선과 종양환자들의 예후 호전을 기대할 수 있다. 그러나 현재 본 교실뿐 아니라 전국적으로 뇌종양의 경우 환자들의 조직진단 및 임상결과만 분석 가능할 뿐이지 뇌종양 전체를 대상으로한 등록 및 그 통계자료는 전무한 실정이다. 따라서 본 교실에서는 본 대학 부속병원에서 진단된 모든 뇌종양환자를 효율적으로 분석 관리할 수 있는 computer program을 개발하여 향후 종양환자들의 발병율과 유병율을 파악하고, 발병과 관련된 요인을 비교 분석하여 우리나라 뇌종양의 특성 파악과 환자 생존의 효율적 추적을 통한 치료방법의 비교분석 및 치료방법의 개선에 도움이 되게 하였다.
뇌실질내 출혈을 동반한 천막상 혈관아세포증 : 증례 보고 Case Report
황성일,전신수,조경근,박춘근,성우현,이상원,최창락 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.4
Hemangioblastoma is a benign tumor of vascular origin that develops usually in the posterior cranial fossa and only very rarely in the supratentorial region. A case of supratentorial hemangioblastoma with spontaneous intraparenchymatous hemorrhage is reported. The neoplasm was not associated with von Hippel-Lindau syndrome nor with erythrocytosis. The hemagioblastoma was diagnosed by repeated cerebral angiography, brain CT and MRI and confirmed histologically by careful microscopic examination of the specimen which gained at the last operation.
Sacral Intraspinal Bronchogenic Cyst: A Case Report
고광석,전신수,이연수,박춘근 대한의학회 2008 Journal of Korean medical science Vol.23 No.5
Intraspinal bronchogenic cysts are rare congenital cystic lesions. In all the reported cases, the cysts have been located in the cervical, upper thoracic or thoracolumbar segments. We report the case of an intraspinal bronchogenic cyst in the sacral location. We present the case of a 5-month-old female with a skin dimple in the midline over the sacral vertebra. Magnetic resonance image of the lumbar and sacral vertebra revealed a dermal sinus tract and an epidural cystic mass at the S2 level. The patient underwent the removal of the dermal sinus tract and the cyst. The cystic mass was shown to be connected to the subarachnoid space through a slender pedicle from the dura. The cyst was diagnosed to be a bronchogenic cyst based on the results of the histopathological examination. We conclude that intraspinal bronchogenic cysts may appear in the sacral location.
전방경유 경추부수술후 발생한 식도천공 : 증례 보고 Case Report
양지호,전신수,이경진,성우현,최창락 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.4
The authors experienced 4 cases of esophageal perforations following anterior ceMcal spine surgery. All occurred within a few days in the postoperative period Diagonosis was made by clinical suspision and confirmed by esophography or reexploration. This complication attributed to s h q blade penetration of a retraction during Surgery. infection and use of hardware. 3 cases were successfully treated by drainage, tube feeding and parented antibiotics. But unfortunately, 1 case was fatality. Although conservative treatment is required prolonged hospitalization, drainage, tube feeding and parented antibiotics are recommended treatment
성재훈,전신수,조경석,김달수,강준기 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.11
Recent advances in neurosurgical field have markedly reduced the mortality and morbidity after skull base surgery. Despite of new skills of skull base surgery, the complication rates remain high. Postoperative cerebral infarction is a main cause of complication. Although arterial compromise is responsible for a majority of these events, the venous side of the circulation can also play a role in producing cerebral infarction. One of the key areas of cerebral venous drainage is at the junction of the transverse sinus and vein of Labbe. We have analyzed 50 cases of cerebral angiograms performed to rule out several vascular diseases. The results are as follows : 1) The selected carotid artery influences opacification patterns of the transverse sinus. 2) The incidence of transverse sinus atresia is about 14%. 3) Anterior and posterior circulation may have different opacification patterns of the transverse sinus. We concluded that neurosurgeons must perform complete 4-vessel angiography and analyze various opacification patterns of the transverse sinus and the vein of Labbe to prevent venous infarction after skull base surgery.