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        • SCOPUSSCIEKCI등재

          자발성 지주막하 출혈후 발생한 지연성 허혈성 장해

          황성남,정찬,김영백,박관,석종식,최덕영 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.12

          Of 286 patients with spontaneous subarachnoid hemorrhage over the past 5 years, 201 patients underwent operation after confirming the ruptured aneurysms. Among the operated patients, 31 developed delayed ischemic deficit(DID) pre-or post-operatively. DID developed as early as 4 days and as late as 29 days after the subarachnoid hemorrhage. The severity of hemorrhage based on Fisher group, subarachnoid hemorrhage associated with intracerebral hemorrhage and/or intraventricular hemorrhage, surgery within 3 days after the subarachnoid hemorrhage were closely related with higher incidence of DID. Inspite of vigorous therapy, 3 died but 23 recovered satisfactorily.

        • SCOPUSSCIEKCI등재

          제 3 뇌실의 유삭교종 - 증 례 보 고 -

          황성남,박승원,김영백,최덕영,김미경,강신광,Hwang, Sung-Nam,Park, Seung-Won,Kim, Young-Baeg,Choi, Duck-Young,Kim, Mi-Kyung,Khang, Shin-Kwang 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.8

          We have recently experienced a third ventricular tumor from a 63-year old woman who presented with paraparesis, voiding difficulty and general weakness. Histopathologic study of the tumor was compatible with recently reported and newly termed chordoid glioma. Clinical behavior of the reported tumors were mostly benign but because of its very close proximity to the hypothalamus, some of the subtotally removed tumors recurred or some of the patients died of postoperative complications. The presenting patient regained normal leg power after removal of the tumor followed by ventriculoperitoneal shunt and discharged on her own feet.

        • SCOPUSSCIEKCI등재

          天幕上部 深靜脈에 關한 考察

          황성남,최길수 대한신경외과학회 1977 Journal of Korean neurosurgical society Vol.6 No.2

          Deep supratentorial veins are highly valuable in the diagnosis of hydrocephalus as well as deep seated telencephalic or diencephalic lesions. It is well known that the ends of the subspendymal veins reach the wall of the frontal horn and the roof of the body of the lateral ventricle and when ventricles dilate, they are stretched and elongated in proportion to the degree of dilatation. Among the subependymal veins septal veins are most frequently visualized, so we can easily measure its length in lateral carotid phlebograms. The author calculated the ratio between the length of the septal vein and the distance from the frontal bone to the venous angle in 50 epileptic patients as normal control and in 29 patients with hydrocephalus to know how far the frontal horn reaches. The author also calculated the ratio between the height of the internal cerebral vein and the distance from the Twining's line to the vertex. The results were as follows; 1) Internal cerebral veins were visualized in all patients and septal veins in 92.6% in epileptic patients and 76.3% in patients with hydrocephalus. 2) In epilepsy the ratio between the length of the septal vein and the distance from the frontal bone to the venous angle was 43.7±3.68%. 3) In epilepsy the ratio between the distance from the frontal bone to the venous angle and the distance from the frontal bone to the occipital bone was 43.9±3.00%. 4) In epilepsy the ratio between the distance from the Twining's line to the venous angle and the vertex was 34.8±2.46%. 5) In epilepsy the ratio between the distance from the Twining's line to the highest point of the internal cerebral vein and the vertex was 37.9±2.46% 6) Septal veins were elongated in proportion to the enlargement of the lateral ventricles and they were rather elongated in epileptic patients who had extremely oblique and flat forehead. 7) Internal cerebral veins were displaced upward or downward under various influences.

        • SCOPUSSCIEKCI등재

          Parinaud씨 증후군을 동반한 뇌폐흡충증의 증례 보고

          황성남,어환,조병규,심보성 대한신경외과학회 1979 Journal of Korean neurosurgical society Vol.8 No.2

          The patient with complaints of seizure, headache and upward gaze paralysis underwent V-P shunt under the impression of pinealoma. The diagnosis of cerebral paragonimiasis was eventually made by the aid of brain CT scan and PW skin test. The case showed a positive intradermal test with relevant histories of eating rare crayfishes and the characteristic CT findings. Plain skull X-ray showed the round calcifications around the pineal region. Brain CT demonstrated multiple round calcifications in the left fronto-occipital region and dilation of the left lateral ventricle with cortical atrophy.

        • SCOPUSSCIEKCI등재

          Tolosa Hunt씨 증후군 1예

          황성남,한대희,최길수 대한신경외과학회 1976 Journal of Korean neurosurgical society Vol.5 No.2

          The Tolosa-Hunt syndrome, first described by Hunt, et al., as painful ophthalmoplegia in 1961 is characterized by recurrent unilateral retro-orbital pain and -dramatic response to steroid therapy. We have recently experienced one case of this syndrome. A 41 year old man was admitted to our hospital because of diplopia, ptosis of the right upperlid and right orbital pain which developed 2 months prior to admission. On examination, right EOM was markedly limited to all direction and sensation was decreased in the 1st and 2nd trigeminal division on the right. Simple skull films and carotid angiogram showed no abnormality. In orbital venography, 3rd portion of the right ophthalmic vein was not visualized. Steroid was administered and improvement of EOM was noted in the next day of therapy. On discharge, previous symptoms disappeared completely.

        • SCOPUSSCIEKCI등재

          연수막 암종증 1예

          황성남,한대희,지제근 대한신경외과학회 1978 Journal of Korean neurosurgical society Vol.7 No.1

          Carcinomatous meningitis is a relatively common late complication of systemic cancer but there is difficulty in diagnosis when there is no clinical evidence of primary malignant lesion. We have experienced a patient who entered our hospital with complaints of headache, vomiting and deteriorated consciousness. On neurological examination, both optic fundi showed hemorrhagic papilledema and central type facial palsy was observed on the right side. All routine laboratory and radiological examination revealed no abnormality except suspiciously dilated ventricles on Conray ventriculogram. She had been treated under the impression of pseudotumor cerebri. She went downhill course and expired on the 18th. hospital day. Autopsy was performed. Pathological findings were limited to the central nervous system. The brain was diffusely swollen and weighed 1510 gms. The cerebral hemispheres were cloudy throughout with dusky gray appearance. Sulci were tight and gyri became flat. No evidence of herniation was present. Coronal secions disclosed two foci of yellow tan granular lesions in the left parieto-occipital cortex just under the menengeal coverings. These lesions were less than 0.5㎝ in maximum dimensions. Microscopically almost entire cerebral, cerebellar and spinal cord leptomeninges were infiltrated by neoplastic cells that often formed glandular structures. These tumorous growths in the meninges were continuous with the subjacent tumor masses found in the cortex. No other foci of tumor were seen in the CNS. The ventricular system was mild to moderately dilated with slightly cloudy surface. Microsepically no tumor was seen along the ependyma. Search for the primary site of meningeal carcinomatosis included multiple sections of entire visceral organs with particular emphasis on the lung. There was a focus of metastatic papillary carcinoma in one of the left hilar lymph node. Meticulous gross dissection and multiple sections of the lungs, however, failed to show any tumor.

        • SCOPUSSCIEKCI등재

          소아에서의 기저구 수막종(Basilar Groove Meningioma) 1예 보고

          황성남,고영초,조병규,심보성,지제근,박태동 대한신경외과학회 1979 Journal of Korean neurosurgical society Vol.8 No.2

          Meningeal tumor obstructing the foramen magnum is relatively rare, moreover occurrence of such a tumor in children has rarely been reported This tumor shows various characteristic clinical manifestations, partly from anatomical standpoint and partly from unknown mechanism. In addition, not uncommon remitting and relapsing clinical course often presents diagnostic conflicts. We experienced a case of basilar groove meningioma presenting many difficult problems in the diagnosis and treatment, which was confirmed at operation and subsequent autopsy in a child.

        • SCOPUSSCIEKCI등재

          삼차신경병증의 미세혈관 감압술 치험예

          황성남,목진호,김영백,최덕영 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.7

          Trigeminal neuropathy is characterized by unremitting facial pain, no evident trigger point and facial sensory change. According to Jannetta, in trigeminal neuropathy, the offending artery is not necessarily in contact with the root entry zone(REZ) but any site of the nerve. We have recently experienced a 48-year-old woman with symptoms and signs compatible with trigeminal neuropathy and explored the CP angle. SCA was crossing just anterior to the trigeminal root and one small arterial loop was lying on the pons close to the root entry zone(REZ) but neither of them was in direct contact with the nerve. Teflon felt was inserted between the arteries and nerve and secured with silk and beriplast for fear that they should contact by changing position. Immediately after the operation the facial pain and pre-existing facial sensory change were completely gone.

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