• Journal of Korean Neurosurgical Society
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• 제41권2호
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• pp.130-133
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• 2007

Neurenteric cysts are rare congenital lesions of the spine that are lined with endodermal epithelium. Their most common location is the cervico-dorsal region, and the mass usually lies ventral to the spinal cord. However the conus medullaris area location is an uncommon location. Neurenteric cysts are best treated by decompression and as near total excision of cyst membrane as possible. We report a case of a 7 year-old-girl with a neurenteric cyst in the conus medullaris. The patient had a history of meningitis and a gait disturbance. Magnetic resonance imaging [MRI] showed an intramedullary mass lesion in the conus medullaris with syringomyelia. There was no associated bone or soft-tissue anomaly. The mass was subtotally removed through a posterior approach. However 4 months later, meningeal irritation signs developed and MRI showed recurrence of the cyst. At the second operation, the cystic membrane was totally removed and the patient's neurological symptoms improved postoperatively. We reports a case of recurred neurenteric cyst occurred in unusual location with the review of literature.

• 한국동물학회지
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• 제27권3호
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• pp.127-136
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• 1984

Xenopus 수정란을 중력에 대해 새로운 방향으로 기울이거나 연속회전시키는 일련의 방법을 통하여 배/복측 극성 (dorsal/ventral polarity) 형성에 관계되는 다음과 같은 사실을 알게 되었다. (1) 수정 후 난을 $15^\\circ, 30^\\circ, 45^\\circ 및 60^\\circ$ 각도로 기울인 채 발생시키면 원구배순부는 보통중력의 반대쪽에 형성되었으며, $15^\\circ에서 60^\\circ$로 기울이는 각도를 증가시킬수록 변경되는 율도 증가하였다. (2) 자외선을 조사한 수정란을 제 1 분열전 $15^\\circ, 30^\\circ, 45^\\circ, 60^\\circ$등의 각도를 유지한 상태에서 발생시킨 결과 자외선에 의한 축형성의 발생결함이 회복되었으며 이때 기울이는 각도가 클수록 그 회복율도 증가하였다. (3) 여러 속도의 정속회전대 (clinostat)상에서 수정란을 발생시킬 경우 비교적 저속인 $0.45 \\sim 9.0$ rph에서는 원구배순부의 형성 장소가 난의 회전방향에 의존하였으나, $40 \\sim 360$ rph에서는 무작위한 방향으로 나타났다. 한편 정속회전대를 경험한 embryo는 대부분 정상적인 발생을 보였으나 축형성상의 결함을 보이는 개체도 아울러 관찰되었다. 이상과 같은 결과들을 배/복측 극성 결정기작과 연관지어 논의하였다.

• 대한의생명과학회지
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• 제27권4호
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• pp.239-247
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• 2021

The scuttle fly is a fly species in the Phoridae family. Scuttle fly which moves abruptly after standing for a while and stop suddenly to rush off again. These characteristic behaviors of the scuttle fly seem to be related to muscular and nervous system or neurotransmitters. Thus, we focused at the neurotransmitter, corazonin (Crz) that is known to be related to resistance to stress and investigated the developmental process of the neurons in the scuttle fly. In a previous studies, we found that there are three groups of corazoninergic neurons in the larval CNS of the scuttle. Larva has 3 pairs of Crz neurons at the dorsolateral area of the brain, 1 pair at the dorsomedial brain and 8 pairs at the ventral nerve cord. In this studies, among these neurons, 1 pair of dorsomedial brain and 8 pairs of ventral nerve cord disappear in early pupal stage after metamorphosis. Only the 3 pairs of dorsolateral brain persist expression of Crz gene through all the period of pupa stage. This group of neurons converge gradually to frontal center of the brain and situated at the medial region. These pairs of corazoninergic neurons keep their number and location in adult stage. In the future, we expect further studies on the histological characteristics of corazonin-expressing cells and the expression of corazonin gene.

• Journal of Korean Neurosurgical Society
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• 제30권5호
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• pp.592-599
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• 2001

Objective : The anterior communicating artery(ACoA) is known to be the most frequent location of intracranial aneurysms, but the complex arterial anatomy of the ACoA region makes this aneurysm among the most difficult one to treat. In the treatment of ACoA aneurysms, the direction of aneurysmal fundus is known to be very important in the surgical tactics. All ACoA aneurysms in our series were classified according to its direction, and analyzed the clinical features in order to investigate the prognostic factors influencing upon the surgical outcome. Methods : The authors reviewed 236 cases of ruptured ACoA aneurysms that were operated from 1990 to 1997, were classified according to Pia's classification. Results : The incidence rate of the ACoA aneurysm was 35.1%(236/672). Ventral group was more common than dorsal group, especially in ventro-caudal projection subgroup(36.0%). Poor preoperative clinical grade(Hunt-Hess grade IV and V) patients were more common in dorsal group(13.1%) than ventral group(2.6%). Rebleeding and intracerebral hematoma were more commonly seen in ventral group. However, vasospasm, hydrocephalus, hyponatremia, and intraventricular hemorrhage were observed more frequently in dorsal group. Worse outcome was more common in dorsal group than ventral group, especially in dorso-caudal projection subgroup. Also, poor outcome was identified in patients with intracerebral hematoma, intraventricular hemorrhage, hyponatremia, and hypertension, although statistically insignificant. In cases with the A1 dominancy, there was no difference in surgical outcome between the right and left side approach. The higher the aneurysmal neck from the planum sphenoidale, the worse outcome via pterional approach. Conclusion : It seems that the preoperative clinical grade, aneurysmal direction, and the height of aneurysmal neck, especially in the pterional approach, would be the major prognostic factors, and that intracerebral hematoma, intraventricular hemorrhage, hyponatremia, hydrocephalus and the intraoperative aneurysmal rupture would be the minor prognostic factors.

• Fisheries and Aquatic Sciences
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• 제2권1호
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• pp.32-35
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• 1999

During the course of studying the helminth fauna from the fishes of the Korean coastal waters, two bucephalid species, Dolichoenterum longissimum Ozaki, 1924 and Prosorhynchus aculeatus Odhner, 1905, were collected from the alimentary canal of the conger eel, Conger myriaster. D. longissimum was characterized by having the ovary between the testes, and 7-8 horn-like projections on the ventral side of rhynchus. P. aculeatus was distinguished from the other species by the location of the mouth or the opening position of the excretory vesicle. These two bucephalid digeneans are new to the Korean fauna.

• 한국동물학회지
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• 제25권3호
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• pp.107-114
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• 1982

수정 직후 일어나는 배, 복측 결정의 기작을 알아 보기 위하여 자외선의 조사와 난의 회전방법을 한국산 무미양서류에 적용하였다. 제 1 분열전의 수정난을 일정기간 $90^\\cdot$회전시키면 자외선에 의한 전형적인 발생결함을 억제시킬수 있었다. 한편, 제 1 분열 전 단기간 회전시킨 난으로부터 발생한 embryo의 원구배순부의 위치도 회전시 중력의 반대 방향에 위치하였던 새로운 장소에 형성되었다. 위의 결과는 다른 무미, 유미양서류를 통하여 얻은 지식과 비교 검토하여 초기발생 기작을 이해하는데 접근하고자 하였다.

• 대한방사선치료학회지
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• 제22권2호
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• pp.75-83
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• 2010

목 적: 간과 간 내에 생긴 암이 위내의 크기, 위치변화에 따라 종양의 위치변화와 경향성을 평가하기 위함이다. 방법 및 고찰: 2009년 3월부터 2010년 4월까지 강남세브란스병원을 내원한 간 종양을 가진 환자 중 CT-simulation (컴퓨터 단층촬영을 이용한 모의치료)을 하기 전 2주 내에 컴퓨터단층촬영이나 양전자컴퓨터단층촬영영상을 가진 환자 9명을 대상으로 하였으며, CT-simulation는 6시간 공복을 유지하고, 영상융합을 위한 컴퓨터단층촬영이나 양전자컴퓨터단층촬영은 촬영직전에 240~260 cc 가량의 물을 섭취하도록 하였다. 두 종류의 영상은 RTP (Radiation Treatment Planning, Pinnacle 8.0 h)에서 각각 환자의 뼈 구조를 중심으로 영상융합을 하였다. 결 과: 물 섭취양은 240~260 cc로 일정하였으나 물 섭취 후 위장의 크기는 259.3 cc부터 495.4 cc로 다양하였으며, 두 가지 다른 상태에서 찍은 컴퓨터단층촬영들에서 나타난 위장의 부피변화는 개인의 차이는 있지만, 평균 130 cc 정도의 부피증가가 측정되었으며, 이는 평균 174%의 증가에 해당된다. 종합적인 종양 중심점의 절대거리는 0.52 cm에서 3.04 cm으로 평균 1.52 cm의 움직임을 보였으며, 머리-다리(Cranial-Caudal)방향으로는 0.1 cm에서 1.35 cm으로 평균 0.44 cm의 움직임을 보였고, 왼-오른(Left-Right)방향으로는 0.05 cm에서 2.75 cm으로 평균 1.22 cm의 움직임을 보였고, 배-등(Ventral-Dorsal)방향으로는 0.05 cm에서 1.85 cm으로 평균 0.33 cm의 움직임을 보였다. 결 론: 개인차가 커서 위장의 운동을 관찰하여 종양의 움직임을 예측하는 것은 힘들지만 위장이 채워짐에 따라, 복잡한 경로를 통해 간 종양의 위치가 오른쪽으로 치우치는 것이 관찰되었다. 이에 간종양 치료 시 치료 정확도를 확보하기 위하여 공복상태를 유도하는 것을 권장한다. 반면 공복상태가 어려울 경우 환자의 위장의 부피와 움직임을 측정하여 치료계획 시 간 종양의 움직임을 고려하여 방사선 치료를 할 것을 권장한다.

• 한국어병학회지
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• 제10권2호
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• pp.137-142
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• 1997

한국 남해안에서 채집한 쥐노래미를 대상으로 기생성 연충류를 조사한 결과 아가미에 기생하는 단생흡충류, Prosomicrocotyla gotoi, 1종과 장관에 기생하는 흡충류, Opecoelus sphaericus, 1종이 발견되었다. 이 두종은 모두 우리나라에서는 처음 기록되는 미기록종들이었다. P. gotoi는 후고착반(opisthaptor)이 두갈래로 나뉘어진 frill형태에 의해 특징지워지며, 유사종인 P.chirii와는 고환과 clamp의 수에 의해 구별되었다. O. sphaericus는 복흡반의 가장자리에 3쌍의 손가락 모양 돌기가 나 있었으며, 유사종인 O. nipponicus와는 고환의 위치에 의해서 구별되어졌다.

• Journal of Korean Neurosurgical Society
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• 제54권3호
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• pp.253-256
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• 2013

Spinal intradural hemangiopericytoma is a very rare tumor and can be characterized by massive bleeding during surgeries, frequent recurrence, and metastasis. However, definite radiologic differential points of hemangiopericytoma are not known. We describe an unexpected hemangiopericytoma case with large bleeding and management of the tumor. A 21-year-old man visited complaining of progressive neck pain and tingling sensation in both hands. Magnetic resonance imaging of his spine revealed C1-2 ventral intradural mass. When the dura was opened, the intradural tumor was placed behind spinal accessary nerves. The tumor was partially exposed only after some accessary nerves had been cut. When internal debulking was performing, unexpected bleeding was noted and it was difficult to control because of narrow surgical field and hypervascularity. Intraoperative spinal angiography and embolization were performed. The tumor was completely removed after embolization. Pathological diagnosis was consistent with hemangiopericytoma. When surgeons meet a flesh-red tumor that bleeds unexpectedly during surgery, hemangiopericytoma may be considered. When feeder control is hard due to reciprocal location of spinal cord, the tumor, and feeders, intraoperative angiography and embolization may be a possible option.

• Journal of Korean Neurosurgical Society
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• 제45권3호
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• pp.176-178
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• 2009

Traumatic brainstem hemorrhage after blunt head injury is an uncommon event. The most frequent site of hemorrhage is the midline rostral brainstem. The prognosis of these patients is poor because of its critical location. We experienced a case of traumatic brainstem hemorrhage. A 41-year-old male was presented with drowsy mentality and right hemiparesis after blunt head injury. Plain skull radiographs and brain computerized tomography scans revealed a depressed skull fracture, epidural hematoma, and hemorrhagic contusion in the right parieto-occipital region. But, these findings did not explain the right hemiparesis. T2-weighted magnetic resonance (MR) image of the cervical spine demonstrated a focal hyperintense lesion in the left pontomedullary junction. Brain diffusion-weighted and FLAIR MR images showed a focal hyperintensity in the ventral pontomedullary lesion and it was more prominent in the left side. His mentality and weakness were progressively improved with conservative treatment. We should keep in mind the possibility of brainstem hemorrhage if supratentorial lesions or spinal cord lesions that caused neurological deficits in the head injured patients are unexplainable.