Journal of Korean Neurosurgical Society
- 제30권3호
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- Pages.384-388
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- 2001
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
기저핵부 뇌실질내 출혈에 대한 수술후 뇌농양으로 오인한 다형성 교아세포종
Glioblastoma Misdiagnosed as Brain Abscess after Surgical Evacuation of Spontaneous Basal Ganglia Hemorrhage
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정진환
(한양대학교 의과대학 구리병원 신경외과학교실) ;
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김재민
(한양대학교 의과대학 구리병원 신경외과학교실) ;
- 백광흠 (한양대학교 의과대학 구리병원 신경외과학교실) ;
- 박용욱 (한양대학교 의과대학 구리병원 해부병리학교실) ;
- 김충현 (한양대학교 의과대학 구리병원 신경외과학교실) ;
- 오석전 (한양대학교 의과대학 구리병원 신경외과학교실)
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Cheong, Jin Hwan
(Department of Neurosurgery, Hanyang University Kuri Hospital) ;
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Kim, Jae Min
(Department of Neurosurgery, Hanyang University Kuri Hospital) ;
- Bak, Koang Hum (Department of Neurosurgery, Hanyang University Kuri Hospital) ;
- Park, Yong Wook (Department of Anatomical Pathology, Hanyang University Kuri Hospital) ;
- Kim, Choong Hyun (Department of Neurosurgery, Hanyang University Kuri Hospital) ;
- Oh, Suck Jun (Department of Neurosurgery, Hanyang University Kuri Hospital)
- 투고 : 2000.07.21
- 심사 : 2001.02.12
- 발행 : 2001.03.28
초록
A 51-year-old woman presented with sudden severe headache, vomiting, and right hemiparesis at first admission. Computed tomography(CT) scans revealed an hemorrhagic density at left basal ganglia. Preoperative cerebral angiography showed no vascular lesion. Under the diagnosis of hypertensive intracerebral hemorrhage(ICH), total extirpation of hematoma was done. The postoperative neurological condition improved gradually and discharged without any neurological sequelae. Two months later, she revisited with headache, vomiting and progressive right hemiparesis. CT scans at second admission showed an irregular rim enhanced mass with central low density with surrounding edema at the initial bleeding area. Repeated craniotomy was performed and the mass was partially removed. The histopathological diagnosis of the specimen was confirmed as glioblastoma. The authors report a glioblastoma, which occurred at initial ICH site and regarded as a brain abscess with literature review.