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前交通動脈瘤에 對한 前大腦動脈 近位部 結紮術에 依한 療法
朱文培,宋鎭彦 대한신경외과학회 1973 Journal of Korean neurosurgical society Vol.2 No.2
It is reported that the rebleeding occurs comparatively frequently from aneurysm in the anterior communicating artery, and the rates of complication and mortality are also comparatively high in the operation of aneurysm of this area. Of the patients who were admitted into the Korea General Hospital and Catholic Medical College St. Mary's Hospital on account of spontaneous intracranial subarachnoid hemorrhage and were discovered to have anterior communicating aneurysm by cerebral angiography, 12 cases were treated by proximal occlusion of the anterior cerebral artery with good results except 1 case that died. These anterior communicating artery aneurysms which were treated by proximal occlusion of the anterior cerebral artery did not revealed the neck and direction of the aneurysm clearly, and the angiographic pattern with regard to aneurysmin the anterior part of circle of Willis corresponds to type 3 or 5 of Okawara's classification, and comparatively good results were obtained by proximal occlusion of the anterior cerebral artery on the side which supplied dominant blood flow. Rebleeding or neurological deficit were seldom occured by this treatment. The results were summarized as follows. 1) The 12 operated cases were between the ages of 32 and 60, comprising 8 males and 4 females. 2) Of the 12 cases, 5 had more than 2 bleedings, and the remaining had only I bleeding preoperatively. The interval between the last bleeding and operation was about a week, however, 6 cases had an interval of more than 2 weeks. The preoperative neurological state of these patients was in Botterell's classification grade 3 in 1 case, grade 2 in 1 case, and the remaining were grade 1. As for arterial spasm, 4 cases did not show spasm at all and 4 cases showed spasm adjacent to aneurysm and the others revealed spasm in a comparatively wide areas of carotid distribution. 3) The type of the anterior part of circle of Willis including anterior communicating artery aneurysm was type I in I case, type 3 in 3 cases and type 5 in 8 cases by Okawara's classification. As for Sedzimir's cross compression, 7 cases fell to type 1, 4 cases to type 2. and 1 case to type 3. 4) In operation, type 3 or type 5 of Okawara's classification were mainly adopted. One case belong to type I died after operation, but the other patients showed no neurologic deficit or rebleeding after operation. 5) In deciding the indication of proximal occlusion of anterior cerebral artery for anterior communicating artery aneurysm, the authors examined closely the circulation pattern of the anterior part of circle of Willis including aneurysm in cases where the neck and direction of the anterior communicating artery aneurysm were not clear on the cerebral angiogram. In conducting surgical operations in type 3 or 5 of Okawara's classification, efforts were made to avoid damage to the perforating vessels and occluded the proximal portion of the anterior cerebral artery. s
朱文培,宋鎭彦 대한신경외과학회 1973 Journal of Korean neurosurgical society Vol.2 No.1
We have experienced 10 cases of cerebral hemiatrophy, whom admitted to the Presbyterian Hospital, Taegu from October 1964 to August 1968. These 10 cases of cerebral hemiatrophy are reported with special emphasis on the neuroradiological changes. Causes, clinical manifestations and various radiological findings of 10 cases of cerebral hemiatrophy are analysed. The results win summarized as follows. 1) Of 10 cases, 5 were caused by infections, 3 were due to cerebrovascular accidents. One was caused by subdural hygroma and one was by unknown origin. 2) On clinical manifestations, contralateral spastic hemiparesis was most common and next were convulsions and low mentality. 3) Changes on plain skull films were observed in 3 cases. Diffuse thickening of the calvarium was seen in one case, and so called Dyke, Davidoff, Masson syndrome was demonstrated in one case. Increased vascular marking was seen in one case. 4) The main findings in cerebral angiogram were shiftening of the anterior cerebral artery toward the cerebral hemiatrophy and opening of the thalamostriate vein from the internal cerebral vein on the atrophy side. 5) Pneumographicaly, 6 cases revealed moderate to marked unilateral dilatation of the lateral ventricle on the side of cerebral hemiatrophy, and remaining 4 cases were accompanied by mild ventricular dilatation on the other side.