외상성 뇌실내출혈 2예 : 2 Cases Report

박중겸 대한신경외과학회 1980 Journal of Korean neurosurgical society Vol.9 No.2

Two cases of traumatic intraventricular .hemorrhage, readily assessed by cerebral computed tomography, are presented. Patho-dynamic factors of traumatic pure intraventricular hemorrhage are uncertain until now. Prognosis of that is relatively omnious. Is one case, of which all ventricles filled with hematoma after blunt head injury, soon ended her life in vain. In other case, in which 4th ventricular hemorrhage with acute hydrocephalus developed, after falling in drunken state. The latter noted improved clinical state with only extraventricular drainage through frontal route and discharged without neurological deficit.

소뇌농양 : 증례 보고 2예

박중겸,도종웅 대한신경외과학회 1980 Journal of Korean neurosurgical society Vol.9 No.1

The author experienced 2 cases of cerebellar abscess, which were secondary to otogenic disease. Increased intracranial pressure signs were developed, in one case from the PTA 3 days and in the other case 12 days after radical mastoidectomy in patient with chronic otitis media. Brain CT scan revealed ring enhanced hypodensity on posterior fossa. Total excisions were made with complete recovery: First case-2 stage operation, aspiration and total excision. Second case- total excision.

다발성 뇌낭충증 : Case Report

박중겸,김형동,전용문,옥영철,이규웅 대한신경외과학회 1976 Journal of Korean neurosurgical society Vol.5 No.2

Cerebral cysticercosis is, unfortunately, a frequent disease in Korea. The clinical symptoms, however resembled that of .space occufying lesion of the brain, are dependent on the location, number of parasite, intensity of infestation and susceptibility of the host. Palpation of the subcutaneons nodule, eosinophilia in peripheral blood, pleocytosis combined. with increased protein in CSF, specific localizng signs, calcification on plain skull (4.5%) and filling defect on Conray ventriculography or pneumoventriculography, all of them are helpful in diagnosis of cerebral cysticercosis. Medical treatment of cysticercosis is not satisfiable now. Some neurosurgen insisted on they are able to get a good result from surgical removal of the cyst and shunt operation. We have experienced a case of cerebral cysticercosis which had invaded cerebral cortex multitudinously and the third ventricle. So, we discussed this case with brief review of literature.

신경외과 영역에 있어서의 Neurofibromatosis

박중겸 中央醫學社 1980 中央醫學 Vol.39 No.6

성인에 발생한 수아세포종 2례 보고 : 2 Cases Report

박중겸,이상호,도종웅,김영수 대한신경외과학회 1979 Journal of Korean neurosurgical society Vol.8 No.2

The medulloblastoma is tumor of the cerebellum, particulary common in children most of them in childhood are situated in the midline vermis, but in adults are in the lateral lobes. The authors reported two cases of medulloblastoma which developed in the midline vermis although the patients were adult, and reviewed with concerned articles.

뇌하수체 선종과 동반된 다발성 뇌동맥류 : 증례보고 Case Report

박중겸,김영수,도종웅,이규웅 대한신경외과학회 1979 Journal of Korean neurosurgical society Vol.8 No.1

The occurrence of coincidental intracranial aneurysms with tumors of pituitary origin is very rare. Silent intracranial aneurysms located distant from the lesion to be treated have little relevance to surgical management of most patients. However, aneurysms of the major arteries adjacent to pituitary and suprasellar mass are additional hazard to surgical treatment. We experienced silent multiful aneurysms located just below the bifurcation of both intenal carotid arteries associated with symptomatic pituitary adenoma (acromegaly). Transfrontal removal of the pituitary eosinophillic adenoma was carried out without treatment of the aneurysms. The angiographic data concidered significant to the safety of the procedure. So the necessity of the cerebral angiography is stressed to show the precise relationships of vessels to masses in the pituitary region. Also the possible reasons for the occurrence of aneurysms in association with these tumors were discussed.

A giant cell tumor of the thoractic vertebra : Case Report 1예 보고

Park, Choong Kyum,Kim, Hyung Dong,choi, Yong Kyo,Kim, Dae Jo,Ok, Yung Chul,Lee, Kyu Woong 대한신경외과학회 1975 Journal of Korean neurosurgical society Vol.4 No.2

거대세포종양은 대부분 장골에서 발생되나 약 8%가 척추에서 나타난다. 이 종양은 연골성골의 골간 및 골단부에서 주로 발생하며 현미경 소견상 특징적으로 파골세포(osteoclastic cell)나 골수의 거대핵세표(megakaryocytic cell)를 닮은 거대세포를 볼 수 있다. 치료는 종양 실질을 제거하고 방사선 치료를 한다고 한다. 본원 신경외과에서는 22세 여자로서 외상후 증상이 악화되었던 거대세포종양 1예를 경험하였기에 문헌고찰과 함께 보고한다. Giant cell tumors in vertebrae are rarely en-countered in neurosurgery, which was interpreted as a distinctive neoplasm arising from short or long cartilaginous bones at epiphyseal-diahpyseal level. In spite of it's rarity, we experienced one case of giant cell tumor of the thoracic vertebra. A 22 year-old Korean single girl was admitted to our hospital with complaints of back pain. Rerferred to the both lower extremities, paraplegia, and voiding difficulty after fell off an attic. She was operated on total laminectomy because of T-11 vertebral body destruction with collapse and complete obstruction at the level of T-11 vertebra on myelogram. Patho logical diagnosis was verified as a giant cell tumor.

척추 수술 후 병발한 Aseptic Spondylitis

임호영,박중겸 대한신경외과학회 1981 Journal of Korean neurosurgical society Vol.10 No.2

We must once consider spondylitis, if the patient complains of severe back pain and back muscle spasm following a more or less improvement after disk surgery. The etiology of these postoperative complications is not well understood in suspected cases of spondylitis, but the most likely causes reveals to be low grade infection, aseptic necrosis and pyogenic infection etc. Conservative treatment with complete bed rest and antibiotics led to satisfactory results in. major cases, but there is no improvement in spite of application strong antibiotics and muscle relaxant in some cases. In later cases, we got the good results with immediate pain relieve and reducing hospital day by anterior interbody fusion. So we report 4 cases of aseptic spondylitis with review of literature.

Intrasellar Germinoma : A form of Ectopic Pinealoma Case Report

Kim, Hyung Dong,Park, Choong Kyum,Lee, Sang Ho,Ok, Yung Chul,Lee, Kyu Woong 대한신경외과학회 1976 Journal of Korean neurosurgical society Vol.5 No.2

생식기 계통에서 발생하는 정상피종(seminoma) 또는 난소정상피종(dysgerminoma)과 조직학적으로 유사한 종양이 두개강 내에서 발생 할 때를 비록이성기형종(atypical teratoma) 또는 배아종(germinoma)이라 한다. 이 종양은 주로 송과선 주위에서 잘 발생하나 가끔 송과체 이외의 장소에서도 발생되는데 이 때를 변위성송과체종(ectopic pinealoma)이라 하며 대부분의 변위성송과체종은 터키안 상부에서 발생되나 드물게는 터키안 내에서도 발생된다. 최근 국립의료원 신경외과에서는 15세 된 남아가 입원 약 2년 전부터 뇌압상승증상과 시상하부, 사구체 및 뇌하수체 침범증상을 호소하여 검사 후 수술한 결과 국내에서는 처음으로 송과체종양을 동반한 터키안 내 배아종을 확인하였기에 문헌고찰과 함께 보고한다. A case of ectopic pinealoma in the region of the sellar turcica, which was not enlarged reaiologically, so-called the intrasellar germinoma is described with its clinical manifestions, roentgenographic pictures, pathological findings and therapeutic points of view. A case of germinoma involving the pituitary gland and the hypothalamus with no conspicuous changes in visual field have been described. This tumor also combined with another tumor at the pineal region. This remarkable feature of extensive intrasellar involvement by a germinomma, generally considered to be a suprasellar tumor, has not been adequately emphasized previously in Korea.

엑스선 단순촬영상에 나타난 한국 정상 성인 척추관의 상관계수 측정

김대규,박중겸,유영락,김남규,정환영 한양대학교 의과대학 1982 한양의대 학술지 Vol.2 No.2

The range of normal values of the spinal canal index of 180 normal Korean adults was measured in cervical and lumbar region. The purpose of this study was to establis the range of normal values of anteroposterior spinal canal index and lateral spinal canal index in cervical and lumbar region in the interest of facilitating clinical investigation of spinal canal stenosis. The anteroposterior spinal canal index was obtained by measurement of the ratio of the interpedicular distance to the transverse diameter of the vertebral body, and lateral spinal canal index was obtained by mesurement of the ratio of the sagittal diameter of the spinal canal to the anteroposterior diameter ofthe vertebral body. The results were the followings: 1. The lateral cervical spinal canal index from third to seventh cervical vertebra in male were 1.15±0.15 (mean±standard deviation), 1.16±0.17, 1.12±6.16,1.14±0.16, 1.15±0.12 repectively, and in female were 1.10±0.12, 1.11±0.13, 1.08±0.14, 1.08±0.13, 1.11±0.11 repectively. In male and female combined, those were 1.13±0.14, 1.14±0.16, 1.10±0.10, 1.12±0.15, 1.13±0.12 respectively. The mean of lateral cervical spinal canal index in male were larger than in female, and smallest in fifth cervical vertebra. 2. The anteroposterior lumbar spinal canal index from first to fifth lumbar vergbra in male were 1.81±0.16, 1.84±0.16, 1.87±0.15, 1.90±0.17, 1.83±0.17 repectively, and in female were 1.66±0.13, 1.71±0.14, 1.76±0.16, 1.79±0.14, 1.78±0.14 respectively. In male and female combined, those were 1.74±0.16, 1.78±0.16, 1.81±0.16, 1.85±0.16, 1.81±0.16 respectively. The mean of anteroposterior lumbar spinal canal index in male were larger than in female, and larger in lower lumbar region than in upper lumbar region relatively. 3. The lateral lumbar spinal canal index from first to fifth lumbar vertebra in male were 1.77±0.16, 1.78±0.17, 1.84±0.17, 1.90±0.15, 1.96±0.20 respectively, and in female were 1.72±0.18, 1.72±0.16, 1.77±0.13, 1.86±0.16, 1.95±0.18 respectively. In male and female combined, those were 1.75±0.17, 1.75±0.17, 1.81±0.16, 1.88±0.15, 1.96±0.19 respectively. The mean of lateral lumbar spinal canal index in male were larger than in female, and larger in lower lumbar region than in upper lumbar region relatively. The lumbar canal to body ratio were obtained by multiplication of anteroposterior spinal canal index by myltiplication of anteroposterior spinal canal index by lateral spinal canal index. Compared with the measurements of Jones and Thoson, Lusted and Keats, Kang, et al., there was no apperent difference in the mean and distribution pattern between the orientals and the westerners.