• Title/Summary/Keyword: Dura

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Meningeal Solitary Fibrous Tumor

  • Lee, Jong-Myong
    • Journal of Korean Neurosurgical Society
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    • v.37 no.3
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    • pp.232-234
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    • 2005
  • We report a rare case of a patient with meningeal solitary fibrous tumor. A 60-year-old woman presented with right leg monoparesis. Brain magnetic resonance imaging demonstrates a well enhancing huge mass, located in left parietal lobe. Cerebral angiography demonstrating increased vascularity in area of the tumor, which had feeder vessels extending from the internal carotid artery and external carotid artery. A presumptive diagnosis of meningioma or hemangiopericytoma was considered. At surgery, the consistency was firm and had destroyed the dura and skull. A gross total resection was performed. Immunohistochemically, tumor was strongly, and widely, positive for CD34 and vimentin. There was no staining for epithelial membrane antigen(EMA), S-100 protein, cytokeratin, and glial fibrillary acidic protein (GFAP). Differential diagnosis of intracranial solitary fibrous tumor includes fibroblastic meningioma, meningeal hemangiopericytoma, neurofibroma, and schwannoma.

Primary Intraosseous Meningioma

  • Cho, Won-Sang;Im, So-Hyang;Oh, Chang-Wan
    • Journal of Korean Neurosurgical Society
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    • v.37 no.3
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    • pp.238-240
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    • 2005
  • Meningioma is usually known to occur stuck to the dura mater, but extradural meningioma occurs rarely. Most of the extradural meningiomas are located in the head and neck and we report a case of the primary intraosseous meningioma in the orbit. A 50-year old woman presented with the left eye hyperemia and exophthalmos. Neuroimaging modalities showed hyperostosis at the left sphenoid and orbital wall. On microscopic view, spindle cells and psammoma bodies between the woven bones were observed. The origin of the intraosseous meningioma is explained with various potent possibilities and differential diagnosis thoroughly explored.

Migration and Coiling of Peritoneal Catheter into the Subgaleal Space : A Very Rare Complication of Subgaleoperitoneal Shunt

  • Yee, Gi-Taek;Han, Seong-Rok;Choi, Chan-Young
    • Journal of Korean Neurosurgical Society
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    • v.54 no.6
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    • pp.525-527
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    • 2013
  • Upward migration of the peritoneal catheter of a subgaleo-peritoneal (SP) shunt and coiling into the subgaleal space is an extremely rare complication of a SP shunt. A 32-year-old male patient visited our hospital presenting with a large skull defect due to a prior craniectomy performed elsewhere. The patient underwent a cranioplasty with methylmetacrylate, but subsequently developed progressive pseudomeningocele and subgaleal cerebrospinal fluid (CSF) collection. The patient underwent CSF diversion via a SP shunt. After SP shunting, the pseudomeningocele disappeared completely. Six months later, the patient presented with progressive scalp swelling. Skull X-ray showed migration and coiling of the distal catheter of the SP shunt. The patient was treated by removing the entire shunt catheter and the dura was covered with a subgaleal flap. We would like to report our experience with a very rare complication of subgaleo-peritoneal shunting.

Stochastic Structure of Daily Rainfall in Korea (한국 일강우의 추계학적 구조)

  • 이근후
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.31 no.4
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    • pp.72-80
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    • 1989
  • Various analyses were made to investigate the stochastic structure of the daily rainfall in Korea. Records of daily rainfall amounts from 1951 to 1984 at Chinju Metesrological Station were used for this study. Obtained results are as follows : 1. Time series of the daily rainfall at Chinju were positively, serially correlated for the lag as large as one day. 2. Rainfall events, defined as a sequence of consecutive wet days separated by one or more dry days, showed a seasonal variation in the occurrence frequency. 3. The marginal distribution of event characteristics of each month showed significant dif- ferences each other. Events occurred in summer had longer duration and higher magnitude with higher intensity than those of events occurred in winter. 4. There were significant positive correlations among four event characteristics ; dura- tion, magnitude, average intensity, and maximum intensity. 5. Correlations among the daily rainfall amounts within an event were not significant in general. 6. There were no consistant significancy in identity or difference between the distribu- tions of daily rainfall amounts for different days within events. 7. Above mentioned characteristics of daily rainfall time series must be considered in building a stochastic model of daily rainfall.

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Non-Dura Based Intaspinal Clear Cell Meningioma

  • Ko, Jun-Kyeung;Choi, Byung-Kwan;Cho, Won-Ho;Choi, Chang-Hwa
    • Journal of Korean Neurosurgical Society
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    • v.49 no.1
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    • pp.71-74
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    • 2011
  • A 34-year-old female patient was presented with leg and hip pain for 6 months as well as voiding difficulty for 1 year. Magnetic resonance imaging revealed a well-demarcated mass lesion at L2-3. The mass was hypo-intense on T1- and T2-weighted images with homogeneous gadolinium enhancement. Surgery was performed with the presumptive diagnosis of intradural extramedullary meningioma. Complete tumor removal was possible due to lack of dural adhesion of the tumor. Histologic diagnosis was clear cell meningioma, a rare and newly included World Health Organization classification of meningioma usually affecting younger patients. During postoperative 2 years, the patient has shown no evidence of recurrence. We report a rare case of cauda equina clear cell meningioma without any dural attachment.

Primary Intradural Extramedullary Myxopapillary Ependymoma

  • Kim, Saeng-Yeob;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.39 no.5
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    • pp.382-384
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    • 2006
  • We report a rare case of primary intradural extramedullary myxopapillary ependymoma of the spinal cord. A 45-year-old woman was admitted to the author's institution with a history of progressive paraparesis[grade IV/IV] with back pain. Neurologic examination revealed decreased sensation below T12 sensory dermatome level. Magnetic resonance imaging[MRI] revealed an intermediate enhanced intradural extramedullary tumor extending from T12. Total resection of the tumor was achieved by T12 laminectomy. Intraoperatively, there was no finding of attachment to rootlet and dura. Histopathological examination identified the tumor as a myxopaillary ependymoma. To the best of my knowledge, this is the first reported case of primary intradural extramedullary ependymoma in Korea.

Diffuse Pneumocephalus : A Rare Complication of Spinal Surgery

  • Yun, Jung-Ho;Kim, Young-Jin;Yoo, Dong-Soo;Ko, Jung-Ho
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.288-290
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    • 2010
  • The common etiologies of pneumocephalus, presence of air in the intracranial cavity, are trauma and cranial surgery. Pneumocephalus after spinal surgery is an unusual postoperative complication. We report the case of a male 59-year-old man who developed a pneumacephalus after posterior lumbar surgery for spinal stenosis. Intraoperatively, a cerebrospinal fluid leak following a dural tear was noted and immediately repaired. The next day, the patient complained of headache and dizziness. Head and lumbar computed tomography scans revealed significant air in the frontal region, several cisterns, intraventricle, and extra-dural area in the spine canal. Symptoms were spontaneously resolved within 2 weeks with conservative management.

A Case of Intraosseous Dural Arteriovenous Fistulas Involving Diploic Vein Treated with Transarterial Onyx Embolization

  • Shim, Jae-Hyun;Yoon, Seok-Mann;Shim, Jai-Joon;Kim, Ra-Sun
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.260-263
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    • 2011
  • Intracranial dural arteriovenous fistulas (DAVFs) are abnormal arteriovenous connections that lie within the dura. Intraosseous DAVFs involving diploic venous system are extremely rare. A 46-year-old woman presented with headache and right pulsatile tinnitus for three weeks. The tinnitus started after yelling. Digital subtraction angiography revealed DAVF within the basal portion of right parietal bone along the middle meningeal artery (MMA) groove. The fistula was fed by frontal branch of right MMA and drained into right transverse sigmoid sinus junction through dilated middle meningeal vein. The intraosseous DAVF involving diploic vein was successfully obliterated with Onyx embolization via transarterial route.

Alveolar rhabdomyosarcoma involving the mandibular ramus and its surrounding tissues (하악에 발생한 횡문근육종)

  • Yoon Suk-Ja;Kang Byung-Cheol
    • Imaging Science in Dentistry
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    • v.34 no.2
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    • pp.111-116
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    • 2004
  • Rhabdomyosarcoma, when it occurs in the head and neck, is primarily found in children. Alveolar rhabdomyosarcoma is rarely seen in the oral lesion, comparing to the embryonal and the pleomorphic variants. This is a report of a case of alveolar rhabdomyosarcoma in the mandible in a ten-year old girl who complained of a non-painful swelling on the right cheek. The right lower 1st molar was mobile. Her radiographs revealed an extensive radiolucency with somewhat irregular border on the right mandibular ramus. The right mandibular 1st and 2nd molars lost their lamina dura and were floating. CT images revealed smooth-outlined soft tissue mass occupying the pterygomandibular space, the infratemporal space, and the masseteric muscle with thinning and perforation of the right mandibular angle and ramus. Histopathological and immunohistochemical findings established the final diagnosis of alveolar rhabdomyosarcoma.

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A Study of Burkitt's Lymphoma Occurred in the Mandible (하악골에 발생한 Burkitt 임파종에 관한 연구)

  • Choi, Syng-Kyu
    • The Journal of the Korean dental association
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    • v.22 no.11 s.186
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    • pp.973-978
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    • 1984
  • The authors observed a case of Burkitt's lymphoma, occurred in the mandible, of 6-year-old female patient who admitted to the Department of Oral Radiology, Kyung Hee University Medical Center. The serial radiograms, clinical findings, and microscopid findings had been taken and obtained following results: 1. In serial radiograms, invasive and infiltrative bone destruction in the both mandibular body region was observed. Perforation and erosion of cortical plate of the mandibular angle area and loss of alveolar lamina dura in involved teeth were also noticed. 2. In microscopic findings, a monotous overgrowth of undifferentiated monomorphic lymphoreticular cells found. Macrophages with and abundant clear cytoplasm are usually found scattered uniformly throughout the tumor, producing the very characteristic 'starry-sky' appearance.

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