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조병규,손효정,조맹기,최길수,심보성 대한신경외과학회 1973 Journal of Korean neurosurgical society Vol.2 No.1
The purpose of this report is to present the results of clinical observations on the surgical treatment of 25 patients (16 male, 10 female) with intractable pain during the period from May, 1960 to April, 1972 at the Department of Neurosurgery, Seoul National University Hospital. Age at the time of operation ranged from 27 to 69 years. Duration of the pain from the onset to surgery was less than one year in most of the cases. The most common causes of the pain were the pelvic malignancies, lung cancer, and metastatic spine tumors in the order. In 20 cases of anterolateral cordotomies, the main complications were urinary retention, ipsilateral motor weakness, and decubitus. The high cervical cordotomy produced high analgesic level and less dropping of established analgesic level postoperatively. Posterior rhizotomy for intercostal neuralgia and a case of thoracic commissurotomy for intramedullary tumor were of gratifying result. The higher the pain located, the longer the pain existed, the operation was less likely to relieve the pain. High cervical cordotomy seems to be superior to the high thoracic cordotomy even in the pain of leg, when it is considered in the respect of the high analgesic level, the lack of "'island" of pain, and technical easiness.
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뇌하수체경을 침범한 Histiocytosis X : 증례 보고 Case Report
조병규,왕규창,양세원,지제근,김인원,최길수 대한신경외과학회 1989 Journal of Korean neurosurgical society Vol.18 No.7-12
A case of histiocytosis X with the involvement of pituitary stalk in a 5 year old boy was described. He presented with diabetes insipidus and the endocrinological study showed growth hormone deficiency. On computerized tomography and magnetic resonance imaging, the pituitary stalk was abnormally thick. Overlooking of the skull lesion on plain X-ray film led to an erroneous diagnosis of 'germ cell tumor'. Gross total removal of the lesion and chemotherapy were performed. In the differential diagnosis of suprasellar masses, this disease entity should be included. The importance of histological diagnosis of the infundibular lesion in cases of central diabetes insipidus is also emphasized.
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신경외과 환자에서 폐색전증에 대한 소고 : A Mortality Cases Analysis
조병규,김현집,심보성 대한신경외과학회 1983 Journal of Korean neurosurgical society Vol.12 No.2
Pulmonary emboli originate from deep vein thrombi which occur frequently in pregnancies, prolonged bed-ridden state, cardiac diseases, cerebrovascular diseases, etc.. The authors analyzed 10 cases of sudden unexplained deaths and found that 4 cases of them probably had pulmonary embolism as a cause of deterioration and death. The estimated pulmonary embolism-related operative mortality was 0.1-0.3% according to the degree of suspicion. Most of the natural courses of the disease are rapidly progressive ones and it is sometimes very difficult and impractical to obtain a definite diagnosis due to rapid deterioration and/or sudden death before studies. So the recognition of predisposing factors and prevention in risky patients are stressed.
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조병규,김현집,최길수 대한신경외과학회 1981 Journal of Korean neurosurgical society Vol.10 No.1
Meningioma of the sellar and parasellar origins grow usually to enormous size having complicated anatomical relations with olfactory and optic nerves, internal carotid artery and its major branches, cavernous sinus, and ventral diencephalon, so as daren't attack them. Visual failure, symptom and signs of increased intrcranial pressure are the most important problems to be solved in the treatment. Three cases of juxtasellar meningioma, one tuberculum sellae, two medial sphenoid ridge were removed under special designs including craniotomy permitting bidirectional approaches, frontal polar wedge resection, and pursuit of major vessels etc., and it was felt that complete removal with functional recovery used not to be always impossible in some cases. Technical problems and results are reported.
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화일의 자동 문서화를 위한 소프트웨어 도구 개발에 관한 연구
趙炳奎 忠州大學校 1991 한국교통대학교 논문집 Vol.25 No.-
It is very important to write a document for software system because of exchange information among each other groups. But documentation requires a lot of time and we think it to be troublesome work. In this paper, I suggest a software tool for automatic documentation on files using in COBOL programs.
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조병규,왕규창,김현집,심보성,최길수 대한신경외과학회 1987 Journal of Korean neurosurgical society Vol.16 No.4
From 1957 to June 1987, authors experienced 8 cases of pediatric brain tumor located in the cerebellopotine angle(CPA) which were operated upon at the Department of Neurosurgery of Seoul National University Hospital. The proportion of the pediatric CPA tumors in the total pediatric brain tumors was 4%(8/197), and that in the pediatric posterior fossa tumors was 8%(8/100). The pathologic diagnoses of the 8 cases were ependymoma (2 cases), medulloblastoma (2 cases), astrocytoma (1 case), primitive neuroectodermal tumor (1 case), trigeminal schwannoma (1 case) and Masson's hemangioendothelioma (1 case). The proportion of CPA location in the posterior fossa ependymomas was 13% (2/16), and those of the posterior fossa medulloblastomas and astrocytomas were 4% (2/50 and 1/28, respectively). The initial presentations were symptoms of increased intracranial pressure in 5 cases, and those of cranial nerve dysfunction in 3 cases. On admission, all of 8 cases showed signs of increased intracranial pressure and among the cranial nerve dysfunctions, facial nerve dysfunction was most common (5 cases). It seemed that it was due to close relationship between these tumors and fourth ventricle, and the patients' age which was too young to complain of subtle subjective sensory dysfunctions. The operative findings showed medial displacement and compression of the cerebellum, brain stem and cranial nerves, enlargement of surrounding subarachnoid space or arachnoid cyst formation, tumor growth into the cranial nerve canals, and encasement of nerves or vessels by the tumor. The sites of origin were lateral recess of fourth ventricle in 4 cases (2 ependymomas and 2 medulloblastomas), and surrounding brain tissue in the other 2 glioma cases. And a representative case was presented.
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조병규,김정식,심보성 대한신경외과학회 1978 Journal of Korean neurosurgical society Vol.7 No.1
Spontaneous ventriculostomy occurs with the spontaneous rupture of a ventricle resulting in a communication between ventricular system and subarachnoid space. It is usually the result of obstructive hydocephalus but has been documented only rarely. Van Stackum verified the first case of spontaneous ventriculostomy at autopsy in 1910. Radiological demonstration of spontaneous ventriculostomy was reported by Leslie for the first time in 1964 and only 6 cases has been reported until now. We recently have exprienced a case of spontaneous ventriculostomy beautifully demonstrated by conray ventriculography in a patient of posterior fossa tumor. We report our case with the brief review of the articles.
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