성상세포종에 대한 방사선치료 후 발생한 뇌해면상 혈관종 - 증 례 보 고 -

정진명,김준수,김기정,황수현,박인성,김은상,한종우,김유경,Jung, Jin-Myung,Kim, Joon Soo,Kim, Ki Jung,Hwang, Soo Hyun,Park, In Sung,Kim, Eun Sang,Han, Jong Woo,Kim, You Kyung 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.11

Radiation is a common treatment modality for central nervous system neoplasms. However, secondary tumor development must be considered in the differential diagnosis in patients with new or recurring symptoms after treatment with conventional radiotherapy. A 28-year-old woman developed a cavernous hemangioma about 9 years after brain irradiation for astrocytoma. Clinical and histopathological details are presented, and previous reports of radiation-induced intracranial cavernous hemangioma are reviewed.

Constitution for Righteousness: A Literary-Theological Study of the Laws on Public Offices in Deuteronomy 16:18-18:22

정진명(Jung, Jin-Myung) 개혁신학회 2012 개혁논총 Vol.24 No.-

필자는 본 논문에서 인류 역사상 최초의 헌법이라고 불리우는 신명기 16:18-18:22 의 내용과 특성, 그리고 그에 대한 다양한 부류의 주장들을 전통적 모세 저작설을 지지하는 입장에서 분석하고 평가하였으며, 아울러 비평학계가 제시한 문제들에 대해 개혁주의적 입장에서의 답변을 제시하였다. 연구사를 다루는 부분에서는 스피노자, 드 베테, 벨하우젠과 같은 비평주의 적 구약해석의 창시자들의 견해에서부터 그들을 따르는 근현대 비평학자들의 견해(즉, 본문의 전부 혹은 일부가 후대의 편집이며, 급작스런 주제변화가 그 증거라는 견해), 그리고 그들과 달리 본문의 통일성을 강조하는 학자들의 견해들을 살펴보았다. 고백적 성경신학 입장의 해석을 제시하는 부분에서는 두 가지 쟁점에 초점을 맞추었는데, 첫째로 본문의 위치와 구조에 관하여는 1) 딜만이 신16:21:17:7에 대해 제시한 소위‘표준 해법’과 그 지류적 해법들의 모순을 지적하고, 2) 벨하우젠, 로핑크등이 견지한 신16:18-18:22의 후대 삽입설을 반박하면서, 언어적, 주제적 근거를 들어 본문이 자신을 둘러싼 문맥과 어떻게 연결되고 있는지를 밝혔다. 둘째로 본문의 법들의 동기와 의의에 관하여는 1) 중앙성소화 가설을 전제한 해석(지방의 법적 공백 보완)의 맹점을 지적하는 동시에 2) 이 법들이 새 땅에서의 의의 유지, 법적 절차의 효율성 확보, 그리고 하나님과 그의 말씀의 최종적 권위에 대한 강조라는 동기를 보여주고 있음을 밝혔다. 본 논문은 문서설적 가설에 근거한 성경해석이 가지는 공통적 한계가 이른바‘이스라엘의 헌법’본문을 연구하는 데에서도 나타남을 보였고, 본문자체가 보여주는 그대로의 언어, 구조, 저작동기를 이해하는 것이 더 바르고 풍성한 신학적 해석을 이끌어 낸다는 실례를 제시했다는 의의를 갖는다. This paper, in the perspective of confessional biblical scholarship, examines the contents and nature of Deuteronomy 16:18-22, (often called) the first written constitution in human history, evaluates various arguments concerning it, and proposes an interpretation as an answer to the issues raised by critical scholarship. Surveying history of research, this paper examines various views, from the views of the fathers of critical interpretation of the Old Testament such as Spinoza, de Wette, and Wellhausen, to the views of their modern followers (i.e., views holding that Deuteronomy 16:18-22 or a part of it is interpolated and that the abrupt thematic shift is the evidence thereof), and to the views emphasizing the unity of the text. Proposing an alternative interpretation from the perspective of confessional scholarship, this paper focuses on two issues. First, concerning the placement and the structure of our passage, 1) the weaknesses of Dillmann’s “standard solution” to the perceived problem of Deut 16:21-17:17 and those of other approaches by his followers are pointed out, 2) the way in which our passage is connected to its surrounding co-texts is demonstrated, while the interpolation hypothesis (held by Wellhausen, Lohfink, etc.) being refuted, based on linguistic and thematic grounds. Second, concerning the motivation and significance of our passage, 1) the invalidity of the interpretation based on the centralization hypothesis, namely conjecturing the motivation to fill the local legal vacuum, is pointed out and 2) it is argued that the motivation of our passage is to main righteousness in the land, to enhance efficiency in legal procedure, and to emphasize on the ultimate authority of God and His words. The hermeneutical contributions of this paper lie in that it shows the usual limitations of the interpretations based on the Document Hypothesis appearing in studying “Israel’s constitution,” and that it argues a case demonstrating that hermeneutically proper and theologically richer interpretations come from hearing attentively the language, structure, and motivation of the text as it presents them.

의를 위한 헌법: 신명기 16:18-18:22에 나타난 공직법에 대한 문학적-신학적 연구

정진명 ( Jin Myung Jung ) 개혁신학회 2012 개혁논총 Vol.24 No.-

필자는 본 논문에서 인류 역사상 최초의 헌법이라고 불리우는 신명기 16:18- 18:22 의 내용과 특성, 그리고 그에 대한 다양한 부류의 주장들을 전통적 모세 저작설을 지지하는 입장에서 분석하고 평가하였으며, 아울러 비평학계가 제 시한 문제들에 대해 개혁주의적 입장에서의 답변을 제시하였다. 연구사를 다루는 부분에서는 스피노자, 드 베테, 벨하우젠과 같은 비평주의 적 구약해석의 창시자들의 견해에서부터 그들을 따르는 근현대 비평학자들의 견해(즉, 본문의 전부 혹은 일부가 후대의 편집이며, 급작스런 주제변화가 그 증거라는 견해), 그리고 그들과 달리 본문의 통일성을 강조하는 학자들의 견해 들을 살펴보았다. 고백적 성경신학 입장의 해석을 제시하는 부분에서는 두 가 지 쟁점에 초점을 맞추었는데, 첫째로 본문의 위치와 구조에 관하여는 1) 딜만 이 신16:21:17:7 에 대해 제시한 소위‘표준 해법’과 그 지류적 해법들의 모순을 지적하고, 2) 벨하우젠, 로핑크등이 견지한 신16:18-18:22의 후대 삽입설을 반 박하면서, 언어적, 주제적 근거를 들어 본문이 자신을 둘러싼 문맥과 어떻게 연결되고 있는지를 밝혔다. 둘째로 본문의 법들의 동기와 의의에 관하여는 1) 중앙성소화 가설을 전제한 해석(지방의 법적 공백 보완)의 맹점을 지적하는 동 시에 2) 이 법들이 새 땅에서의 의의 유지, 법적 절차의 효율성 확보, 그리고 하 나님과 그의 말씀의 최종적 권위에 대한 강조라는 동기를 보여주고 있음을 밝혔다. 본 논문은 문서설적 가설에 근거한 성경해석이 가지는 공통적 한계가 이른 바‘이스라엘의 헌법’본문을 연구하는 데에서도 나타남을 보였고, 본문자체 가 보여주는 그대로의 언어, 구조, 저작동기를 이해하는 것이 더 바르고 풍성 한 신학적 해석을 이끌어 낸다는 실례를 제시했다는 의의를 갖는다. This paper, in the perspective of confessional biblical scholarship, examines the contents and nature of Deuteronomy 16:18-22, (often called) the first written constitution in human history, evaluates various arguments concerning it, and proposes an interpretation as an answer to the issues raised by critical scholarship. Surveying history of research, this paper examines various views, from the views of the fathers of critical interpretation of the Old Testament such as Spinoza, de Wette, and Wellhausen, to the views of their modern followers (i.e., views holding that Deuteronomy 16:18-22 or a part of it is interpolated and that the abrupt thematic shift is the evidence thereof), and to the views emphasizing the unity of the text. Proposing an alternative interpretation from the perspective of confessional scholarship, this paper focuses on two issues. First, concerning the placement and the structure of our passage, 1) the weaknesses of Dillmann`s “standard solution” to the perceived problem of Deut 16:21-17:17 and those of other approaches by his followers are pointed out, 2) the way in which our passage is connected to its surrounding co-texts is demonstrated, while the interpolation hypothesis (held by Wellhausen, Lohfink, etc.) being refuted, based on linguistic and thematic grounds. Second, concerning the motivation and significance of our passage, 1) the invalidity of the interpretation based on the centralization hypothesis, namely conjecturing the motivation to fill the local legal vacuum, is pointed out and 2) it is argued that the motivation of our passage is to main righteousness in the land, to enhance efficiency in legal procedure, and to emphasize on the ultimate authority of God and His words. The hermeneutical contributions of this paper lie in that it shows the usual limitations of the interpretations based on the Document Hypothesis appearing in studying “Israel`s constitution,” and that it argues a case demonstrating that hermeneutically proper and theologically richer interpretations come from hearing attentively the language, structure, and motivation of the text as it presents them

두개인두종의 적출후 발현된 지연성 뇌경색

박균철,정진명,김준수,김재형,이현석,황수현,박인성,김은상,한종우,Park, Geun Chul,Jung, Jin-Myung,Kim, Joon Soo,Kim, Jae Hyung,Lee, Hyun Seok,Hwang, Soo Hyun,Park, In Sung,Kim, Eun-Sang,Han, Jong Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.7

Delayed cerebral infarction after resection of craniopharyngioma is a uncommon entity, but leads to high morbidity and mortality. We present 3 such cases and discuss the etiology and pathogenesis with review of pertinent literatures. In our cases, delayed deterioration of consciousness was observed in all cases. All of them expired. The cause may be multifactorial and the surgical approach may contribute to the pathogenesis of delayed cerebral infarction. We suspect vasospasm might be the major mechanism of pathogenesis. Vessels were primed to spasm during operation due to blood in the cistern or mechanical injury. Vasoactive materials may have been liberated from the pituitary stalk or injured hypothalamus, either at the time of surgery, or later, after portions of tumor have undergone necrosis. The high degree of suspicion to detect vasospasm should be done in the case of the delayed deterioration of mental status at an early stage of craniopharyngioma surgery. Possible mechanism underlying this delayed cerebral infarction are discussed.

임상 : 한국인에서의 다형성 황색 성상세포종

김정수 ( Jung Soo Kim ),정진명 ( Jin Myung Jung ),황수현 ( Soo Hyun Hwang ),이철희 ( Chul Hee Lee ),강동호 ( Chul Hee Lee ),한종우 ( Jong Woo Han ) 대한뇌종양학회 2006 대한뇌종양학회지 Vol.5 No.1

Pleomorphic xanthoastrocytoma(PXA) belongs to a subcategory of World Health Organization(WHO) classification of tumors of the central nervous system.9) PXA locates typically superficually and affects young patients, who present most commonly with seizures. It was first described by Kepes in 19799,10) and in Korea by Park et al in 1982.23) The tumor has aggressive histological features, but relatively favorable prognosis. The published cases of these PXAs in Korea were reviewed including the author`s own two cases, which were treated by gross total resection. The major clinical, radiological and histopathological features of PXAs in Korean are discussed.

영형성 신경절교종 -증례보고-

강동호 ( Dong Ho Kang ),정진명 ( Jin Myung Jung ) 대한뇌종양학회 2004 대한뇌종양학회지 Vol.3 No.1

Herein, the authors report on a case of anaplastic gangliolima. A 45-year-old woman was admitted with a 5-month history of headache and dizziness, both of which were slowly progressing. Preoperative magnetic resonance images re-ealed a strong enhancing mass in the left frontal lobe extending to the cingulated gyrus. Adjuvant radiation therapy and chemotherapy were administered after gross total resection of the tumor. Histologic and immunohistochemical studies showed a gangliolioma with anaplastic transformation. Gangliongliomas of the central nervous system are rather uncommon tumors, and anaplastic ones are extremely rare. Malignatnt changes are found mostly in the glial elements of the tumors. The pertinent literatures regarding gangliogliomas are reviewd.

수술중 급성 대량 출혈을 동반한 자발성 척추경막외혈종 - 증 례 보 고 -

김형종,황수현,박인성,김은상,정진명,한종우,Kim, Hyoung Jong,Hwang, Soo Hyun,Park, In Sung,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.9

Spontaneous spinal epidural hematoma is rare disease and usually presents with a progressive neurological syndrome for which surgical decompression is usually indicated. The cause of bleeding in epidural hematoma remains unknown in most of the cases. The most frequently identified risk factor is coagulopathy or treatment with anticoagulants. Recently, authors experienced a case of spontaneous spinal epidural hematoma with intraoperative profuse bleeding at the cervicothoracic location. Laboratory examination showed no evidence of coagulopathy or hepatic disease. On neurologic examination, left hemiparesis(Grade : II) and left side sensory change were noted. On MRI scan, there was a mass of high signal intensity in T2WI and isosignal intensity in T1WI compressing the cord to left side. The patients had good surgical outcome after decompressive laminectomy and hematoma removal.

냉동보관된 자가골편과 Methyl Methacrylate를 이용한 두개골성형술의 결과 비교

박균철,황수현,김준수,김기정,박인성,김은상,정진명,한종우,Park, Gyeun Chul,Hwang, Soo Hyun,Kim, Joon Soo,Kim, Ki Jeong,Park, In Sung,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1

Objective : Authors analyzed clinical outcomes of cranioplasty according to the materials used for covering defects of the skulls. Methods : From January 1997 to February 2000, there were forty one patients undergone cranioplasty at our institution. We used refrigerated autogenous bone flaps in 19 cases(group A) and methyl methacrylate(MMA) in 22 cases(group B). The medical records and plain skull radiographs of the patient were reviewed. Results : There were thirty men and eleven women. Mean follow up period was 12 months(From operation to last Outpatient department follow up). The mean operative time of the group A($136.8{\pm}3$ minutes) was shorter than the group B($172.7{\pm}2$ minutes, Mann-Whitney test, p=0.001). In group A, the degree of satisfaction was good in 8 cases, fair in 10, and poor in 1. In the group B, there were fair in 13 and poor in 9. So the cosmetic result was superior in the group A(Chi-square test, p=0.00). The complications were occured in one case of flap infection in the group A and 6 in the group B(one stitch abscess, 4 infected flaps, one subgaleal hematoma). Conclusion : Cranioplasty using refrigerated autogenous bone flap showed shorter operative time, better cosmetic results, and less complication rate than those using MMA.

뇌경막 동정맥루를 동반한 장기간 지속된 외상성 경동맥-해면정맥동루 - 증례보고 -

박경범,박인성,김준수,김기정,황수현,김은상,정진명,한종우,김재형,Park, Kyung Bum,Park, In Sung,Kim, Joon Soo,Kim, Ki Jeong,Hwang, Soo Hyun,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo,Kim, Jae Hyung 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1

Traumatic carotid-cavernous fistula is a rare complication of moderate to severe head injury. For the treatment of carotid-cavernous fistula, detachable balloon occlusion is the best method of choice. A 26 year old male patient was hurt with a left periorbital penetrating injury 20 years ago, and then left side exophthalmos, bruit and right hemiparesis developed 10 years later. We experienced the very rare case of direct carotidcavernous fistula with cavernous dural arteriovenous fistula. Brain MRIs and cerebral angiograms revealed that direct carotid-cavernous fistula was accompanied by cavernous dural arteriovenous fistula due to longstanding venous hypertension and development of collateral circulation. Detachable balloon occlusion and surgical internal carotid artery ligation were not enough to occlude fistular flow, so cavernous dural arteriovenous fistula embolization was necessary. The authors present a case of long-standing traumatic carotid-cavernous fistula with cavernous dural arteriovenous fistula, with review of the literature.

폐전이를 보인 경-흉추 이행부 악성 신경초종 1례 - 증 례 보 고 -

박경범,황수현,김준수,김기정,박인성,김은상,정진명,한종우,Park, Kyung Bum,Hwang, Soo Hyun,Kim, Joon Soo,Kim, Ki Jeong,Park, In Sung,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.11

Acase of malignant schwannoma in the cervico-thoracic region with lung metastasis is presented. The patient was 55-year-old man presented with right arm weakness. Magnetic resonance image demonstrated lobulated enhancing soft tissue masses in spinal canal, neural foramen and right paraspinal space at C7-T1 level compressing the dural sac and spinal cord. Subtotal removal was performed and histological diagnosis of malignant schwannoma was made. Reoperation due to recurrence was done but subsequent metastasis to lung was observed.