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고혈압성 기저핵부 - 시상부 뇌내출혈 환자의 예후 인자 : Thalamic Intracerebral Hemorrhage
손형권,서면,조기홍,김재민,하호균 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.5
The authors carried out various treatment modalities in 74 consecutive patients with hypertensive basal ganglionic-thalamic intracerebral hemorrhage and were admitted to the Department of Neurosurgery. Konkuk University Hospital. from Jan. 1991 to Dec. 1993 A variety of prognostic factors that influence mortality were observed. The location of hematoma was at the basal ganglia in 47 cases and at the thalamus in 27 cases. The prognosis gets poorer as the hematoma extended wider and deeper. The prognosis was unfavorable when the hematoma was over 30cc(P<0.001). The mortality rate was higher in cases with IVH than in cases without IVH(P<0.005). In cases with IVH. 19 cases(26%) showed dilated 4th ventricular hemorrage and a higher mortality rats(P<0.001). Cases in which the GCS were less than 9 on admission showed higher mortality rate(P<0.0001) The mortality rats was also higher if the midline shift was more than 10mm on the initial brain CT scan(P<0.005). The group where the unilateral or bilateral pupillary light reflex was unreactive(35cases) showed poorer prognosis than the group where the bilateral pupillary light reflex was reactive(P<0.0001). The ventriculocranial ratio(VCR). hydrocephalus. surrounding edema around the hematoma. and treatment modality were not related to the prognosis. The significant prognostic factors in patients with hypertensive basal ganglionic-thalamic intracerebral hemorrhage were location and type of hematoma. whether or not the volume of hematoma is more than 30cc. IVH, dilated 4th ventricular hemorrhage. Graeb's score of more than 7. GCS of less than 9. midline shift of more than 10mm. and reactivity of pupillary light reflex
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요추간판탈출증 환자의 통증관리를 위한 스테로이드와 Bupivacaine의 병용요법
손형권,문창택,조준,장상근 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.9
The introduction of microdiscectomy in lumbar spine surgery has resulted in a significant decrease in postoperative pain and length of hospital stay. Intraoperative application of ling-acting local anesthetic agents and corticosteroids during lumbar discectomy have been used for the management of postoperative pain. However, the efficacy of local anesthetic agents and corticosteroids has not been reported. This study evaluated 30 patients undergoing lumbar microdiscectomy. These patients were divided into three groups. Group Ⅰ(10 patients) received intramuscular Depomedrol and intravenous Solumedrol at the start of the operation. A gelfoam soaked with Depomedrol was placed over the affected nerve root following discectomy. In addition, bupivacaine was infiltrated into the paraspinal musculature at the skin incision and during closure. Group Ⅱ(10 patients) received intramuscular bupivacaine and used a saline-soaked gelfoam. Group Ⅲ(10 patients) acted as a control group without corticosteroids and bupivacaine. Patients in Group I had a statistically significantly shorter hospital stay(8.9 days) compared to the control group(14.9 days). Patients in Group Ⅰ required less postoperative narcotic analgesia than the other groups. A larger percentage of patients in Group I reported reduction of lower back pain and radicular pain until #POD 3 compared to other froups. These results indicate that the combination of long-acting local anesthetic agents and corticosteroids can reduce postoperative discomfort and hospital stay.
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문창택,조준,손형권,이창명,윤승환,장상근 건국대학교 의과학연구소 1999 건국의과학학술지 Vol.8 No.-
Subdural empyema is a fulminating, purulent bacterial infection located between the dura and arachnoid membrane. It is a neurosurgical emergency and the mortality of which continues to be as high as 40% in mordern reported series. Early diagnosis, adequate antibiotic therapy and surgical treatment play important roles in the successful management of subdural empyema. Recently, we have experienced a case of a traumatic subdural empyema treated by craniotomy and ventriculo-peritoneal shunt operation and report this case with reviewing the literatures.
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