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두개인두종에 대한 정위적 분할 방사선 수술 -증례보고-
이기택 ( Gi Taek Yee ),최광영 ( Gwang Young Choi ),최찬영 ( Chan Young Choi ),손문준 ( Moon Jun Shon ),이동준 ( Dong Joon Lee ),황금철 ( Gum Cheol Hwang ),황충진 ( Chung Jin Whang ) 대한뇌종양학회 2002 대한뇌종양학회지 Vol.1 No.2
A sixteen years old male patient was treated with the fractionated stereotactic radiosurgery(FSR) using Novalis system. The patient had surgery initially at other hospital before FSR and suffered from visual and endocrine dysfunctions which was required hormone replacement. Seven months after FRS, we found marked decrease of tumor volume. Now he is followed for 1 year. There is a still controversy regarding the ideal management of craniopharyngiomas. Radical resection is hazardous and can produce unacceptable mortality and morbidity. Many authors noted that postoperative conventional radiotherapy or Gamma knife radiosurgery after limited excision achieved better results than total excision of tumor for survival and postoperative complications. FRS delivered precise radiation to a target volume in close proximity to surrounding critical structures resulted in tumor regression. FRS using the relocatable mask frame may have a good role for adjuvant treatment of recurred or relapsed craniopharyngiomas.
영상유도장비를 이용한 연수부 해면상 혈관종의 제거 1예
이기택,최광영,최찬영,손문준,이동준,황금철,황충진,박성혜 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
With increased use of magnetic resonance imaging(MRI), diagnosis of cavernous ma formations has become easy. These malformations are often small and can be difficult to localize during surgery. Small deep lesions within the brain. and/or near the eloquent areas are difficult to localize and resect without significant morbidity. But using the interactive Image Guided System, provides the 3-dimensional view of the actual lesions and it also allows the surgeon to plan a surgical strategy that takes into account the relationship of the lesion. Therefore Image Guided Surgery for deep seated or brain stem lesions represent a very accurate and safe method.