• 제목/요약/키워드: Midline

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Diagnosis of Persistent Primitive Olfactory Artery Using Computed Tomography Angiography

  • Kim, Myoung-Soo;Lee, Ghi-Jai
    • Journal of Korean Neurosurgical Society
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    • 제49권5호
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    • pp.290-291
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    • 2011
  • Persistent primitive olfactory artery (PPOA) is a rare anomaly of the anterior cerebral artery. We present one case of PPOA incidentally diagnosed with the aid of computed tomography (CT) angiography. A 24-year-old woman was admitted to our hospital after sudden onset of vertigo. Three-dimensional CT angiography revealed an anomalous artery arising from the terminal portion of the right internal carotid artery. The proximal portion of the anomalous artery coursed anteromedially and made a hairpin turn posterosuperior to the midline. PPOA may be overlooked because of its rarity, but CT angiography can be useful in detecting this rare vascular anomaly. Follow-up study is necessary in our case to confirm whether an aneurysm occurs on the PPOA.

Postoperative Vasospasm in Unruptured Intracranial Aneurysm

  • Lee, Suk-In;Park, Cheol-Wan;Hong, Won-Jin;Park, Chan-Woo
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.131-134
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    • 2006
  • The cerebral vasospasm after clipping surgery of unruptured aneurysm is uncommon. A 44-year-old man with unruptured left middle cerebral artery[MCA] aneurysm had clipping surgery. From the third postoperative day, he presented with drowsy mentality, dysphasia and right hemiparesis. Computed tomographic scans showed low density area in frontotemporal lobe and midline shift. Transfemoral cerebral angiography revealed severe vasospasm in supraclinoid internal carotid artery, anterior cerebral artery, and MCA on the operative side. We performed left frontotemporoparietal craniectomy and hypertensive-hypervolemic therapy. He recovered without neurological deficits but for dysphasia. Neurosurgeon should be alert to the possibility of vasospasm after clipping surgery even in case of unruptured cerebral aneurysm.

Chordoid Glioma : A Case Report of Unusual Location and Neuroradiological Characteristics

  • Kim, Jin-Wook;Kim, Jae-Hyoung;Choe, Ghee-Young;Kim, Chae-Yong
    • Journal of Korean Neurosurgical Society
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    • 제48권1호
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    • pp.62-65
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    • 2010
  • Since the World Health Organization (WHO) classification for central nervous system neoplasms was declared in 2000, chordoid glioma of the third ventricle has been noted as a newly recognized tumor for central nervous system neoplasms. Although there is not enough universal experience to know the nature of this tumor due to its rarity, the origin of chordoid glioma was guardedly proposed to be the ependymal cells of the third ventricle. Such an idea has been primarily based on the specific location of the tumor, that is, third ventricle, suprasellae, and hypothalamus. However, we report a rare case of histologically confirmed chordoid glioma located in the left thalamus, not attached to any of the midline structures having unusual neuroradiological characteristics.

Olfactory Schwannoma-Case Report-

  • Choi, Yu-Seok;Sung, Kyung-Su;Song, Young-Jin;Kim, Hyung-Dong
    • Journal of Korean Neurosurgical Society
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    • 제45권2호
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    • pp.103-106
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    • 2009
  • Intracranial schwannomas preferentially arise from the vestibular branch of the eighth nerve, and rarely from the trigeminal nerve, facial nerve, and lower cranial nerves. Anterior cranial fossa schwannomas are extremely uncommon and few details about them have been reported. The patient was a 39-year-old woman whose chief complaints were anosmia and frontal headache for 2 years. The gadolinium (Gd)-enhanced magnetic resonance imaging (MRI) showed an extra-axial mass from ethmoid sinus to right frontal base region near the midline, with solid enhancement in lower portion and multicystic formation in upper portion. The tumor was totally resected via basal subfrontal approach. At operation, the tumor had cystic portion with marginal calcification and the anterior skull base was destructed by the tumor. The olfactory bulb was involved, and the tumor capsule did not contain neoplastic cells. The histopathological diagnosis was schwannoma. We report a rare case of anterior cranial fossa schwannoma with literature review.

Transdural Nerve Rootlet Entrapment in the Intervertebral Disc Space through Minimal Dural Tear : Report of 4 Cases

  • Choi, Jeong Hoon;Kim, Jin-Sung;Jang, Jee-Soo;Lee, Dong Yeob
    • Journal of Korean Neurosurgical Society
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    • 제53권1호
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    • pp.52-56
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    • 2013
  • Four patients underwent lumbar surgery. In all four patients, the dura was minimally torn during the operation. However, none exhibited signs of postoperative cerebrospinal fluid leakage. In each case, a few days after the operation, the patient suddenly experienced severe recurring pain in the leg. Repeat magnetic resonance imaging showed transdural nerve rootlets entrapped in the intervertebral disc space. On exploration, ventral dural tears and transdural nerve rootlet entrapment were confirmed. Midline durotomy, herniated rootlet repositioning, and ventral dural tear repair were performed, and patients' symptoms improved after rootlet repositioning. Even with minimal dural tearing, nerve rootlets may become entrapped, resulting in severe recurring symptoms. Therefore, the dural tear must be identified and repaired during the first operation.

구강저에 발생한 유피낭종 1예 (A Case of Epidermal Cyst in the Floor of Mouth)

  • 김남균;김동현;박용수;전은주
    • 대한기관식도과학회지
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    • 제16권1호
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    • pp.55-58
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    • 2010
  • Epidermal cyst in the floor of mouth is relatively rare disease. Patients usually present soft and non-tender mass at the midline of mouth floor. Careful history taking and imaging study are needed for the diagnosis and surgical excision is the choice of treatment. We report a case of huge epidermal cyst located in the floor of mouth mimicking plunging ranula, which was successfully removed by transoral surgical excision without any complication. It was diagnosed as an epidermal cyst by pathologic examination.

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폐쇄식 고환앞 요도절개술을 통한 요도결석견 치유 2례 (Two Case Report of Treatment by Closed Prescrotal Urethrotomy in Two Dogs with Urethral Calculi)

  • 정순욱;이충헌;신영규
    • 한국임상수의학회지
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    • 제16권2호
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    • pp.501-505
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    • 1999
  • Two dogs were presented urinary disorder in the associated with urolithiasis. Clinical signs were increased frequency of urination with mild straining pollakiuria, general depression and anorexia. On physical examinations, the pain was revealed at the palpation of the urethral area. Urinalysis showed high specific gravity, high pH, and triple phosphates. Radiography showed an increased radiopacity, and ultrasonography showed hyperecho in the just behind of os penis. Urolithiasis was diagnosed on the basis of clinical signs, radiography, and ultrasonography. In the prescrotal urethrotomy, urethra on the midline was incised and uroliths were eliminated. After elimination of uroliths, incision area was closed with 4-0 synthetic absorbable suture. In postoperative, there was good prognosis without hemorrhage, inflammation, and urethral stricture.

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A New Report of Two Species of Pagurid Hermit Crabs (Crustacea: Decapoda: Anomura) from Korea

  • Jung, Jibom;Kim, Won
    • Animal Systematics, Evolution and Diversity
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    • 제30권1호
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    • pp.9-15
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    • 2014
  • Pagurus undosus and Pagurus parvispina, collected from the East Sea by fishery trap, are newly recorded from Korean waters. Pagurus undosus is distinguished from other hermit crab by its right cheliped slightly elevated medially, and with broad ridge formed by deep depressions mesial and lateral to midline. Pagurus parvispina is distinguished from other hermit crab by its right cheliped covered with large spine and long tufts of setae. These species live in cold water areas and their geographical distribution is extended southwardly by the present study. A specimen of the former species, P. undosus, was found living in a shelter formed by a sponge, similar to that observed in Pagurus pectinatus. Descriptions and figures of these two species are provided in this paper. Currently, 27 species of the genus Pagurus are recorded in Korean fauna.

제주도 문섬 주변해역에서 채집된 망둑어과 한국미기록종, Eviota melasma (First Record of the Gobiid Fish Eviota melasma (Perciformes: Gobiidae) from Korea)

  • 김병직;최승호;이영돈
    • 한국어류학회지
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    • 제17권3호
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    • pp.221-224
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    • 2005
  • 스쿠바다이빙에 의한 제주도 남부해역에 위치한 문섬 주변해역의 어류상을 조사하던 중 수심 약 13 m에서 망둑어과의 풀비늘망둑속 Eviota에 속하는 한국미기록종 어류 3개체를 채집하였다. 본 종은 후두부에 1쌍의 큰 흑점이 있고, 등쪽 정중선을 따라 흑점이 없는 점에서 E. melasma로 동정되었다. 제주도 문섬 주변해역에서의 출현은 지금까지 알려진 본 종의 최고 북방기록이며, 본 종의 국명은 '흑점풀비늘망둑'이라고 명명하였다.

쇄골두개이골증 (Cleidocranial Dysplasia: Report of a Case)

  • 정선진;홍순기
    • Imaging Science in Dentistry
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    • 제30권3호
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    • pp.229-234
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    • 2000
  • Cleidocranial dysplasia (previously known as cleidocranial dysostosis) is a well-known, rare and hereditary skeletal disorder characterized by a variety of dental abnormalities and as its name implies, striking involvement of the cranial vaults and clavicles. A 17-year-old female who presented with short stature and prolonged retention of deciduous teeth, subsequent delay in eruption of permanent teeth is described. She could touch her shoulders together at the midline anteriorly. Diagnostic procedures showed hypoplasia of the maxillary and zygomatic bones, open fontanelles and sutures, and aplasia of the clavicles. The paranasal sinuses were absent or underdeveloped. Characteristically, she had near parallel-sided borders in the ascending ramus of the mandible and abnormal-shaped, the slender pointed coronoid process. The zygomatic arches had a downward bend and discontinuity at the zygomaticotemporal suture area. Radiographic and clinical investigations of her cranial and skeletal abnormalities revealed features of cleidocranial dysplasia.

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