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RISS 인기검색어
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- 저자 : Tae Oong Eom (검색결과 2 건)
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Tae Oong Eom,Eun Suk Park,Jun Bum Park,Soon Chan Kwon,Hong Bo Sim,In Uk Lyo,Min Soo Kim 대한뇌혈관외과학회 2018 Journal of Cerebrovascular and Endovascular Neuros Vol.20 No.2
Objective : We investigated whether clipping or endovascular treatment (EVT) can reduce the incidence of delayed hydrocephalus. We also investigated whether additional procedures, namely lumbar drainage and extra- ventricular drainage (EVD), decrease the incidence of delayed hydrocephalus in patients with subarachnoid hemorrhage (SAH). Materials and Methods : One-hundred and fifty-two patients who had undergone an operation for SAH were enrolled in this study. Clinical data, radiological data, and procedural data were investigated. Procedural data included the operating technique (clipping vs. EVT) and the use of additional procedures (no procedure, lumbar drainage, or EVD). Delayed hydrocephalus was defined as a condition in which the Evan's index was 0.3 or higher, as assessed using brain computed tomography more than 2 weeks after surgery, requiring shunt placement due to neurological deterioration. Results : Of the 152 patients, 45 (29.6%) underwent surgical clipping and 107 (70.4%) underwent EVT. Twenty-five (16.4%) patients developed delayed hydrocephalus. Age (p = 0.019), procedure duration (p = 0.004), and acute hydrocephalus (p = 0.030) were significantly correlated with the incidence of delayed hydrocephalus. However, the operation technique (p = 0.593) and use of an additional procedure (p = 0.378) were not significantly correlated with delayed hydrocephalus incidence. Conclusion : No significant difference in the incidence of delayed hydrocephalus was associated with operation technique or use of an additional procedure in patients with SAH. However, delayed hydrocephalus was significantly correlated with old age, long procedural duration, and acute hydrocephalus. Therefore, we recommend that additional procedures should be discontinued as soon as possible.
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Idiopathic Granulomatous Hypophysitis: A Case Report and Literature Review
Tae Oong Eom,Eun Suk Park,Park Sung Ho,Min Soo Kim,Soon Chan Kwon,Hong Bo Sim,In Uk Lyo,Jun Bum Park 대한말초신경학회 2018 The Nerve Vol.4 No.2
Idiopathic granulomatous hypophysitis (IGH) is a rare inflammatory disorder of the pituitary that causes transient or permanent gland dysfunction and various neurological symptoms. We present a case involving a 24-year-old woman who was admitted for headache and visual disturbance. The patient was preoperatively diagnosed with pituitary adenoma and underwent transsphenoidal surgery. Histopathology revealed a diagnosis of granulomatous hypophysitis. She was finally diagnosed with IGH given the absence of systemic granulomatous disease. Because IGH is a rare disease and is easily misdiagnosed as other pituitary disease, careful inspection of patient symptoms is required. Surgical intervention provides a histological diagnosis and immediate mass reduction in patients with IGH; however, hormone replacement is frequently required, and long-term follow up is very important.
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