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윤병만,석종식,최덕영,임광세 대한신경외과학회 1981 Journal of Korean neurosurgical society Vol.10 No.1
We have experienced 40 cases of spontaneous intracerebral hemorrhage admitted to the Chung Ang University Hospital. We analized the result of the treatment of spontaneous intracerebral hemorrhage and assessed prognostic factors affecting the result of treatment of intracerebral hemorrhage. 1) The age distribution was ranged from 26 to 69 and 67.5% of them were in fourth and fifth decade. The ratio of male to female was about 5 : 3 and the age of the patients did not significantly influence on the result of operative or non-operative cases. (P : 0.22 P> 0.05) 2) The predilection sites of hemorrhage were basal ganglia (60%) and thalamus (15%). 3) There was a correlation between the conscious status on admission and that of two weeks after admission, not so strong, in the operated cases. j. e., the higher Glasgow Coma Score on admission, the better results two weeks after admission. But such a correlation was not found in the non-operated cases. (P :0.5732 P<0.01, P : 0.1581 P> 0.05) The hemorrhage in the dominant hemisphere had little correlation with the outcome. (P : 0.5068 P<0. 01) 4) The pre or post-operative conscious status appeared to have no correlation with the hematoma volume. The large hematoma not always lead to poor prognosis when it was removed in proper time unless the secondary change of the hematoma did not develop. (P : 0.4257 P <0. 05, P : 0.4644 P<0. 05) 5) The blood pressure on admission, not his proper pressure, had no correlation with the result two weeks after admission in the operated or non-operated cases. (P : 0.4988 P<0.01, P : 0.4120 p<0. 05) 6) The midline shift on the carotid angiogram had a closed correlation with the conscious status of she operated or non-operated cases in spite of little influence of hematoma volume to the conscious state. (2 : 0.7350 P<0.01. P : 0.5377 P<0.01)
Forestier씨 병 : 증례 보고 Case Report
윤병만,구영두,석종식,최덕영 대한신경외과학회 1980 Journal of Korean neurosurgical society Vol.9 No.2
The characteristic features of the Forestier's disease, ankylosing hyperostosis of the spine, consist essentially in marginal proliferation at the vertebral edges which are apt to unit their homologues to form bridges and to extend as a bony layer which thickens the vertebral cortex with an overgrowth of bone spreading like a flow. The disease had been long looked upon as vertebral spondylosis or other spinal diseases such as ankylosing spondylitis before Forestier first defined it as a new disease entity. The bony changes could be occured everywhere on the spinal column, but are mainly confined to the-anterior part of the thoracic spine, especially in the right side. It clinically may be of little significance because of little symptoms. Forestier reported 88% of the patients was over 50 years old and 65% was male of 245 cases. Although the pathogenesis is uncertain, a spinal expression of more diffuse ossifying diathesis may be considered. We are reporting a case of the Forestier's disease which was incidentally found on a 55 years old paraplegic patient who had suffered from back trauma.
척추간반탈출증 수술후에 발생한 척추간반염의 재발 1예 보고
윤병만,민병국,구영두,석종식,임광세 대한신경외과학회 1980 Journal of Korean neurosurgical society Vol.9 No.1
The etiology of the postoperative discitis is not fully known, but most likely, the cause seems to be of a low grade infection and chemical and mechanical injuries. The incidence of these complication is from 0.12% to 2.6% of all cases. The characteristics of this disease are recurrence of severe lower back and gluteal pain, spasm of lumbar paravertebral muscle and elevated E.S.R. following the asymptomatic postoperative period, a roentgenogram showed an early destructive change in the adjacent vertebra, the narrowing of the intervertebral disc space, sclerotic changes in the vertebral bone and occasional fusion of the spine, and relatively good prognosis. We present a case of recurrent postoperative discitis with E.S.R. change and roentgenographic change.