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터키안 및 터키안주위부 종양 수술후 시기능 예후에 관한 임상적 고찰
조창성,하영일,김충현,송관영 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.2
We reviewed the records of 28 patients who underwent transranial(20 caes) or transsphenoidal(8 cases) surgery for sellar and parasellar tumors. Both pre-and postoperative visual status(visual acuity and field) of each eye were analyzed under the rating system of Cohen, et, al. The average duration of follow-up 3 months. The lesions encountered consisted of pituitary adenoma in 14 cases, craniopharyngioma in 5 cases, meningioma in 4 caes, chordoma in 3 cases, a dermoid cyst in 1 case, and an unspecified tumor in another case. All patients had objective signs of visual acuity or field defects prooperatively. Overall postoperative visual acuity and visual fields were normalized or improved in 73% and 71% of the eyes, respectively. The visual outcome of postoperative visual acuity was better in cases of craniopharyngioma(80%) than the other tumors. Visual evoked potentials(VEP) showed all postoperative improvement and was as helpful as visual fields in determining visual status. The visual outcome was better in patients with a shorter duration of symptoms and those with smaller tumors. Patients with lesser compromise of preoperative visual acuity had better outcome of postoperative visual acuity. However, the severity of preoperative visual field defects did not seem to influence postoperative field outcome. There also was no relationship between the presence of endocrine activity of the tumor and visual outcome. Patients who underwent transsphenoidal approach had either better visual acuity or field improvement than patients with transcranial approach.
Fahr's Disease 치험 1례 : 증례보고 A Case Report
조창성,박정하,송관영,한윤경,김충현,하영일 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.7
The Authors present a case of Fahr's disease which is characterized by idiopathic symmetrical calcifications in the basal ganglia and the dentate nuclei. Computerized tomographic scans of the brain demonstrated bilateral calcified lesions recognized in the region of the dentate nuclei of both cerebellar hemispheres and the basal ganglia. A review of the literature on several cases of intracranial ferrocalcinosis is presented.
다발성 두개강내 수막종 : 증례보고 Case Report
조창성,박정하,최선욱,송관영,김충현,하영일 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.9
Meningioma is the third most common intracranial tumor and different from meningiomatosis and multiple meningiomas Multiple meningiomas without the stigma of Von Recklinghausens disease are rare The incidence of multiple meningiomas has been reported in 1-8.9% of all intracranial meningiomas Although the pathogenic factors related to the multiple meningiomas are unknown, various theories have been studied and reported The authors report two cases with multiple meningiomas without evidence of the Von Recklinghausens diseases treated succesfully by staged operation The clinical, radiological and histopathological features of these lesions are discussed.
자발성 후두동맥류 : 증례보고 A Case Report
박정하,조창성,송관영,김충현,한윤경,하영일 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.5
The authors presented an unusual case of an occipital artery aneurysm which developed spontaneously. The patient was a 41-year-old woman who suffered from the sudden onset of right hemiparesis and slurred speech. Computerized tomography scans of the brain demonstrated an intracerebral hemorrhage in the left parietal lobe. The carotid angiography revealed an incidental saccular aneurysm in the left occipital artery. The aneurysm was not treated because the patient's relatives refused operation and there were no subjective complaints by the patient. Certain particularities of this lesion are discussed in the context of the literature
송관영,조창성,김충현,하영일 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.12
It is believed that differentiating tuberculoma, abscess, metastatic tumor and glioma is often difficult without exisional biopsy. The authers report two cases of tuberculoma in the cerebral hemisphere which were treated surgically. Differentiating characteristics of intracerebral tuberculoma in MR imaging and CT scans are also discussed. With the references reviewed, the MR imaging features of the trberculoma were found to be distinct from those of abscess, metastatic tumor, glioma and cysticercus granuloma.
만성 뇌경막하 혈종 및 활액낭종의 배액에 따른 대뇌실질내 및 뇌간 출혈
김충현,조창성,송관영,한윤경,하영일 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.8
Two cases of intracerebral and brain stem hemorrhage occurring after evacuation of chronic subdural hematoma and subdural hygroma are reported. A patient who had undergone craniostomy with closed drainage for subdural hygroma had intracerbral and fatal brain stem hemorrhage in the immediate postoperative period. Despite rapid and intensive treatment, he died. The other patient had intracerebral hematoma following drainage of chronic subdural hematoma and left with severe disability. Possible pathogenic mechanisms leading to development of the postoperative intraparenchyma1 hemorrhage are suggested. Sudden increase in cerebral blood flow combined with defective autoregulation seemed the most likely pathogenic mechanism ta be responsible for the postoperative hemorrhage. If close neurosurgical observation of patients and clinical awareness for the intraparenchymal hemorrhage after evacuation of chronic extracerebral fluid collections given, this devastating complication may be avoided.
자궁경부암의 단일성 소뇌 전이 : 증례보고 A Case Report
박정하,조창성,송관영,하은주,한윤경,김충현,하영일 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.8
Brain metastasis from primary uterine cervical carcinoma have been described but are extremely rare and usually occur in the presence of widely disseminated diseases. The authors report a case of solitary cerebellar metastasis from uterine cervical carcinoma. which was confirmed by histopathologial examination. The patient has shown no evidence of metastatic lesions elsewhere, thus far. but had undergone a radical hysterectomy under the diagnosis of uterine cervical carcinoma 52 months prior to the surgical excision of the cerebellar metastasis
접형동에 발생한 점액성농류 : 증례보고 Case Report
송관영,조창성,김충현,하영일 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.6
A rare case of sphenoid sinus mucopyocele with visual impairment and opthalmoplegia is presented. clinical presentations including headache, opthalmoplegia, visual disturbance and ptosis are caused by local extension of the mucopyocele of the sphenoid sinus. The authors report a mucopyocele involving the sphenoid sinus with a brief review of the literature.