• Title/Summary/Keyword: Neurosurgery

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Meningeal Hemangiopericytoma : Study of 6 Cases and Review of the Literatures

  • Kim, Jong-Hyun;Kwon, Taek-Hyun;Kim, Joo-Han;Park, Youn-Kwan;Chung, Yong-Gu;Chung, Heung-Seob
    • Journal of Korean Neurosurgical Society
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    • v.39 no.1
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    • pp.32-35
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    • 2006
  • Objective : Hemangiopericytoma is known as a malignant tumor originating from pericytes and rarely occurs in the central nervous system. We present 6 cases of pathologically confirmed meningeal hemangiopericytoma. Methods : Retrospective study was done based on patient's recordings including radiological studies. Each case of tumors was treated surgically and postoperative radiotherapy was done. Results : There were 5 cases of intracranial and 1 case of spinal hemangiopericytomas. Three of 5 intracranial hemangiopericytomas were located at tentorial region. Total tumor removal was done in 4 cases and postoperative local recurrence (or regrowth) was noted in 3 cases despite of postoperative external radiation therapy, 2 of which had died. Conclusion : Our cases show more frequent tentorial locations and poor clinical outcomes of hemangiopericytomas compared with meningiomas.

Brain Metastasis of Renal Cell Carcinoma in Von Hippel-Lindau Disease - Case Report - (본 히펠 린다우병에서 발생한 신장암의 뇌전이 - 증례보고 -)

  • Yang, Seung Min;Park, Sang Woo;Suk, Jong Sik;Park, Jong Hyuk;Kwon, Jeong Taik;Min, Byung Kook
    • Journal of Korean Neurosurgical Society
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    • v.30 no.8
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    • pp.1019-1022
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    • 2001
  • Although brain metastasis of renal cell carcinoma is a major cause of death in Von Hippel-Lindau disease(VHL), it is not easy to distinguish local recurrence of hemangioblastoma from distant metastasis. In addition, hemangioblastoma has several characteristics suitable for recipient of "tumor-to-tumor metastasis". Authors report a case of Von Hippel-Lindau disease that had metastases of renal cell carcinomas.

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A Case of Intraorbital Pseudotumor - Case Report - (안와내 가성종양 1예 - 증 례 보 고 -)

  • Chang, In Bok;Cho, Byung Moon;Hwang, Hyung-Sik;Park, Se-Hyuck;Shin, Dong-Ik;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.1
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    • pp.85-88
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    • 2001
  • Intraorbital pseudotumors are inflammatory lesions of the orbit of unknown etiology, which initially mimic an orbital neoplasm. The authors report a case of intraorbital pseudotumor presenting with painful exophthalmos. A 45-year-old male patient had a two-week history of acute progressive exophthalmos and diplopia. Right orbit was explored through transcranial route and the mass was biopsied, which revealed dense inflammatory cells and fibrosis. He subsequently underwent corticosteroid therapy and symptoms improved gradually. The literatures were reviewed.

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Trilateral Retinoblastoma - Case Report - (일측성 망막아세포종과 동반된 이소성 정중선 원시신경외배엽종 - 증례보고 -)

  • Kim, Hyung Seok;Cho, Kyung Gi;Cho, Ki Hong;Yoon, Soo Han;Ahn, Young Min;Ahn, Young Hwan;Shim, Chul
    • Journal of Korean Neurosurgical Society
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    • v.30 no.5
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    • pp.647-651
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    • 2001
  • Trilateral retinoblastoma is a syndrome involving midline intracranial malignancies in children with the heritable form of retinoblastoma. It is rare and usually lethal in spite of aggressive treatments. We report a case of trilateral retinoblastoma with review of the literature to gain further insight into this uncommon disease.

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A Case of Intracardiac Migration of Distal Ventriculo-Peritonal(V-P) Shunt Catheter - Case Report - (뇌실-복강 단락 원위도관의 심장내전위 - 증례보고 -)

  • Kim, Byung Joo;Cha, Seung Heon;Park, Dong June;Song, Geun Sung;Choi, Chang Hwa;Lee, Young Woo
    • Journal of Korean Neurosurgical Society
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    • v.29 no.2
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    • pp.270-273
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    • 2000
  • Ventriculoperitoneal(V-P) shunt has been used as a popular method for surgical treatment of hydrocephalus. But complications such as infection, mechanical obstruction and failure of flow rate sometimes make painful stress to neurosurgeons and patients. Of particular, migration of distal V-P shunt catheter to extraperitoneal space has rarely been reported. Even rarer is intracardiac migration of distal V-P shunt catheter. Authors report a such case and discuss the possible mechanism and preventive method.

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Using Blood Donating Set for the Treatment of Subgaleal Hematoma - Technical Note - (헌혈 세트를 이용한 두피하 혈종의 치료 - 치료 수기 -)

  • Suh, Dong-Sang;Kim, Bum-Tae;Cho, Sung-Jin;Shin, Won-Han;Choi, Soon-Kwan;Byun, Bark-Jang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1519-1522
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    • 2000
  • Sugaleal hematoma usually develop one to eight days after minor head trauma or clotting disorders in children. The galeal aponeurosa in children is loosely attatched to the pericranium, allowing the collection of large quantity of blood. Most cases of subgaleal hematomas resolve spontaneously, however some cases require surgical intervention, aspiration of subgaleal hematoma often alleviate symptoms briefly and but do not shorten the time to resolution. Reaccumulation, infection following aspiration also had been reported. Here, we report the efficacy of using the blood donating set for the treatment of subgaleal hematoma in our series.

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Hemangioblastoma of the Conus Medullaris - Case Report - (척수원추에 발생한 혈관모세포종 - 증례보고 -)

  • Moon, Soo-Hyeon;Kim, Se-Hoon;Kwon, Taek-Hyon;Park, Youn-Kwan;Chung, Heung-Seob;Suh, Jung Keun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.836-840
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    • 2000
  • Intramedullary spinal hemagioblastomas usually develope in cervical or thoracic region of spinal cord, but rarely in conus medullaris. We report a case of hemangioblastoma developed in conus medullaris. The 19-year-old male patient presented with slowly progressing low back pain and paresthesia of both legs. MRI and spinal angiography revealed a well-vascularized mass lesion in the conus medullaris with syrinx formation. Total excision of hemangioblastoma was achieved via posterior approach. Postoperatively, patient's walking difficulty was worsened transiently, but it was improved at discharge.

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A Case of Cerebral Paragonimiasis Combined with a Meningioma - A Case Report - (뇌수막종과 동반된 뇌폐흡충증 - 증례보고 -)

  • Kim, Tae Wan;Lim, Chang Soo;Park, Sang Moo;Chi, Moon Pyo;Kim, Jae O;Kim, Jung Chul
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.800-804
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    • 2000
  • Cerebral paragonimiasis is an important parasitic infestation found in Eastern Asia, West Africa, and Central/South America. It is frequently associated with abscess, granuloma or cystic lesions in chronic stage. Chronic symptoms include seizure, visual disturbance, movement and perception disorders, usually resulting from the spaceoccupying lesions. The authors report a case of chronic cerebral paragonimiasis combined with meningioma. A 69-year-old man presented with generalized seizure and impaired consciousness. CT scan and MR image of the brain revealed two intracranial lesions ; one was cerebral paragonimiasis in the left temporo-occipital lobe, and the other a huge falx meningioma. Two lesions were successfully removed in staged operations and the generalized seizure was controlled after removal of the cerebral paragonimiasis.

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Vertebral Artery Dissection : Natural History, Clinical Features and Therapeutic Considerations

  • Park, Kwan-Woong;Park, Jong-Sun;Hwang, Sun-Chul;Im, Soo-Bin;Shin, Won-Han;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • v.44 no.3
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    • pp.109-115
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    • 2008
  • When a tear occurs in one of the major cervicocerebral arteries and allows blood to enter the wall of the artery and split its layers, the result is either stenosis or aneurysmal dilatation of the vessel. Vertebral artery dissection (VAD) is an infrequent occurrence but is a leading cause of stroke in young and otherwise healthy patients. This article discusses recent developments in understanding of the epidemiology and pathogenesis of VAD and the various clinical manifestations, methods of diagnosis, and approaches to treatment.

Secretory Meningioma with Severe Peritumoral Edema - Case Report - (심한 부종을 동반한 분비성 뇌수막종 - 증례보고 -)

  • Kim, Il-Sup;Lee, Hyung-Jin;Lee, Jin-Suck;Yang, Ji-Ho;Lee, Il-Woo;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.137-139
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    • 2001
  • The authors report a 42-year-old woman presented with a falx meningioma with disproportionately severe peritumoral edema. Histological examination including immunohistochemical staining resulted in the diagnosis of secretory meningioma. In addition to tumor size, edema could not be explained by location, growth rate, vascular involvement, or other factors. We conclude that secretory meningiomas may possess an innate ability to cause brain edema.

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