• 제목/요약/키워드: Neurosurgical Disease

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3D-Printed Disease Models for Neurosurgical Planning, Simulation, and Training

  • Park, Chul-Kee
    • Journal of Korean Neurosurgical Society
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    • 제65권4호
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    • pp.489-498
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    • 2022
  • Spatial insight into intracranial pathology and structure is important for neurosurgeons to perform safe and successful surgeries. Three-dimensional (3D) printing technology in the medical field has made it possible to produce intuitive models that can help with spatial perception. Recent advances in 3D-printed disease models have removed barriers to entering the clinical field and medical market, such as precision and texture reality, speed of production, and cost. The 3D-printed disease model is now ready to be actively applied to daily clinical practice in neurosurgical planning, simulation, and training. In this review, the development of 3D-printed neurosurgical disease models and their application are summarized and discussed.

Update on the Vein of Galen Aneurysmal Malformation : Disease Concept and Genetics

  • Hyun-Seung Kang
    • Journal of Korean Neurosurgical Society
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    • 제67권3호
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    • pp.308-314
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    • 2024
  • Vein of Galen aneurysmal malformation is one of important pediatric arteriovenous shunt diseases, especially among neonates and infants. Here, early history of the disease identification, basic pathoanatomy with a focus on the embryonic median prosencephalic vein, classification and differential diagnoses, and recent genetic studies are reviewed.

Endovascular Embolization of a Ruptured Distal Lenticulostriate Artery Aneurysm in Patients with Moyamoya Disease

  • Hwang, Kihwan;Hwang, Gyojun;Kwon, O-Ki
    • Journal of Korean Neurosurgical Society
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    • 제56권6호
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    • pp.492-495
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    • 2014
  • A ruptured distal lenticulostriate artery (LSA) aneurysm is detected occasionally in moyamoya disease (MMD) patients presented with intracerebral hemorrhage. If the aneurysm is detected in hemorrhage site on angiographic evaluation, its obliteration could be considered, because it rebleeds frequently, and is associated with poorer outcome and mortality in MMD related hemorrhage. In this case report, the authors present two MMD cases with ruptured distal LSA aneurysm treated by endovascular embolization.

A Recent Update of Clinical and Research Topics Concerning Adult Moyamoya Disease

  • Jeon, Jin Pyeong;Kim, Jeong Eun
    • Journal of Korean Neurosurgical Society
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    • 제59권6호
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    • pp.537-543
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    • 2016
  • A better understanding of moyamoya disease (MMD), such as natural clinical course, surgical outcomes and research, has been obtained. This review article focuses on an giving an update for adult MMD in the Korean population. In this paper, we mainly discuss the results of our domestic investigations including meta-analysis, and related subjects from other countries.

Rapid Progression of Unilateral Moyamoya Disease

  • Kim, Tae-Wan;Seo, Bo-Ra;Kim, Jae-Hyoo;Kim, Young-Ok
    • Journal of Korean Neurosurgical Society
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    • 제49권1호
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    • pp.65-67
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    • 2011
  • The detailed clinical characteristics of unilateral moyamoya disease (MMD) have not been fully elucidated. It has been reported that some patients with unilateral MMD progress to bilateral involvement, while others remain with the unilateral variant In this series, we present a case of unilateral MMD that progressed to bilateral involvement over the course of just one month.

A Case of Cerebral Aneurysmal Subarachnoid Hemorrhage in Fabry's Disease

  • Chang, Youn Hyuk;Hwang, Sung-Kyun
    • Journal of Korean Neurosurgical Society
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    • 제53권3호
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    • pp.187-189
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    • 2013
  • We report an unusual case of cerebral aneurysmal subarachnoid hemorrage (SAH) with Fabry's disease. A 42-year-old woman presented with aneurysmal SAH originated from a saccular aneurysm of the right posterior communicating artery. The patient was treated by an endovascular coil embolization of aneurysm. Postoperatively the patient recovered favorably without any neurological deficit. During her admission, the patient had a sign of proteinuria in urine analysis. The pathologic findings of kidney needle biopsy implied nephrosialidosis (mucolipidosis of lysosomal stroage disease), which is consistent with a Fabry's disease. It is uncommon that Fabry's disease is presented with aneurysmal SAH, especially in middle-aged patients, but could be a clinical concern. Further investigations are needed to reveal risk factors, vascular anatomy, and causative mechanisms of Fabry's disease with aneurysmal SAH.

A Case of Probable Moyamoya Disease (Unilateal Moyamoya Disease) Coexisting Arteriovenous Malformation

  • Shin, Doog-Soo;Song, Kwan-Young;Hong, Hyun-Jong;Kong, Min-Ho
    • Journal of Korean Neurosurgical Society
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    • 제42권1호
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    • pp.49-52
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    • 2007
  • The authors report a unique case of unilateral Moyamoya disease with a rare combination of arteriovenous malformation (AVM) who presented with intracerebral hemorrhage (ICH). A 50-year-old man suffered from sudden onset of mental deterioration and right hemiparesis. Brain computed tomography (CT) showed intracerebral hemorrhage on left thalamus. Brain CT angiography and cerebral digital subtraction angiography (DSA) revealed AVM combined with unilateral moyamoya disease involving left middle cerebral artery (MCA) and choroid plexus in left lateral ventricle. Intraventricular hemorrhage and hydrocephalus were managed conservatively. A rare case of unilateral Moyamoya disease accompanied by a cerebral arteriovenous malformation is described and discussed with review of pertinent literature.

Quantitative Digital Subtraction Angiography in Pediatric Moyamoya Disease

  • Cheon, Jung-Eun
    • Journal of Korean Neurosurgical Society
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    • 제57권6호
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    • pp.432-435
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    • 2015
  • Moyamoya disease is a unique cerebrovascular disorder characterized by idiopathic progressive stenosis at the terminal portion of the internal carotid artery (ICA) and fine vascular network. The aim of this review is to present the clinical application of quantitative digital subtraction angiography (QDSA) in pediatric moyamoya disease. Using conventional angiographic data and postprocessing software, QDSA provides time-contrast intensity curves and then displays the peak time ($T_{max}$) and area under the curve (AUC). These parameters of QDSA can be used as surrogate markers for the hemodynamic evaluation of disease severity and quantification of postoperative neovascularization in moyamoya disease.

Circulating Vascular Progenitor Cells in Moyamoya Disease

  • Kang, Hyun-Seung;Wang, Kyu-Chang;Kim, Seung-Ki
    • Journal of Korean Neurosurgical Society
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    • 제57권6호
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    • pp.428-431
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    • 2015
  • Various approaches have been attempted in translational moyamoya disease research. One promising material for modeling and treating this disease is vascular progenitor cells, which can be acquired and expanded from patient peripheral blood. These cells may provide a novel experimental model and enable us to obtain insights regarding moyamoya disease pathogenesis. We briefly present the recent accomplishments in regard to the studies of vascular progenitor cells in moyamoya disease.

Caudal Agenesis : Understanding the Base of the Wide Clinical Spectrum

  • Lee, Ji Yeoun;Shim, Youngbo;Wang, Kyu-Chang
    • Journal of Korean Neurosurgical Society
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    • 제64권3호
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    • pp.380-385
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    • 2021
  • Caudal agenesis refers to the congenital malformation with the essential feature of the agenesis of the sacrococcygeal bone. It is associated with various types of spinal cord anomaly as well as with complex anomalies of genitourinary or gastrointestinal system. The wide spectrum of the disease can be attributed to its pathoembryological origin, the secondary neurulation. This review presents the definition, etiology, classification, and clinical features of the disease.