• Title/Summary/Keyword: aneurysms

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Dissecting Aneurysm of the Anterior Cerebral Artery : Report of Two Cases

  • Choi, In-Jae;Son, Young-Je;Kim, Jeong-Eun;Han, Dae-Hee
    • Journal of Korean Neurosurgical Society
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    • v.38 no.6
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    • pp.465-467
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    • 2005
  • Anterior cerebral artery[ACA] dissecting aneurysms are extremely rare and optimal treatment remains unclear. The majority of cases manifest as cerebral infarction or as intracranial bleeding. The authors report two cases of ACA dissecting aneurysm, one with a large partially thrombosed gradually growing aneurysm and one with a cerebral infarction in the ACA territory. The patient with a large aneurysm was treated by trapping the aneurysm, and the patient with infarction by conservative management. We report on two cases of dissecting aneurysm of the ACA and include a review of pertinent literature.

Current Status and Future Prospect of Endovascular Neurosurgery

  • Jeon, Young-Il;Kwon, Do-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.43 no.2
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    • pp.69-78
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    • 2008
  • Recently, due to the evolution of technology, the field of neurosurgery is receiving spotlight. In particular endovascular neurosurgery has gained a great interest along with the advancement of the modern neurosurgery. The most remarkable advances were made in embolization of the cerebral aneurysms, arteriovenous malformations and intracranial stenosis during the past 10 years. These advances will further change the role of neurosurgeons in treating cerebrovascular disease. Because interventional neuroradiologists have performed most of procedures in the past, neurosurgeons have been deprived of chances to learn endovascular procedure. This article discusses the development of technological aspect of endovascular neurosurgery in chronological order. By understanding the history and current status of the endovascular surgery, the future of neurosurgery will be promising.

Large Intracranial Aneurysm after Transsphenoidal Surgery for Pituitary Macroadenoma

  • Yoon, Kyeong-Wook;Cho, Chun-Sung;Lee, Sang-Koo
    • Journal of Korean Neurosurgical Society
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    • v.55 no.3
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    • pp.160-163
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    • 2014
  • Uncontrolled cerebrospinal fluid (CSF) leakage after transsphenoidal surgery (TSS) for pituitary adenoma can lead to meningitis. Intracranial mycotic pseudoaneurysm is a rare complication in central nervous system infection. Large single pseudoaneurysm is more uncommon. Most mycotic aneurysms occur due to endocarditis. The present patient had no heart problem and was infected by CSF leakage after transsphenoidal surgery. We present a case of large ruptured mycotic pseudoaneurysm as a complication of cerebral infection after TSS for pituitary macroadenoma.

Traumatic Aneurysm of the Callosomarginal Artery-Cortical Artery Junction from Penetrating Injury by Scissors

  • Kim, Myoung Soo;Sim, Sook Young
    • Journal of Korean Neurosurgical Society
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    • v.55 no.4
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    • pp.222-225
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    • 2014
  • Traumatic intracranial aneurysms (TICAs) are rare and are associated with high rates of morbidity and mortality. TICAs usually result from head injuries caused by traffic accidents, industrial accidents, or gunshots. We report a traumatic aneurysm of the callosomarginal artery-cortical artery junction arising from a penetrating injury by scissors. A 51-year-old woman was admitted to our hospital after suffering a penetrating injury caused by scissors. Computed tomography (CT) and CT-angiography demonstrated a right orbital roof fracture, subarachnoid hemorrhage, frontal lobe hemorrhage, intraventricular hemorrhage, and a traumatic aneurysm of the right callosomarginal artery-cortical artery junction. We trapped the traumatic aneurysm and repositioned a galeal flap. Postoperative CT showed a small infarction in the left frontal lobe. Follow-up angiography two months later showed no residual aneurysm. We suggest that an aggressive surgical intervention be performed whenever TICA is diagnosed.

Variability of Platelet Reactivity on Antiplatelet Therapy in Neurointervention Procedure

  • Yi, Ho Jun;Hwang, Gyojun;Lee, Byoung Hun
    • Journal of Korean Neurosurgical Society
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    • v.62 no.1
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    • pp.3-9
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    • 2019
  • As more intracranial aneurysms and other cerebrovascular pathologies are treated with neurointervention procedure, thromboembolic events that frequently lead to serious neurological deficit or fatal outcomes are increasing. In order to prevent the thromboembolic events, antiplatelet therapy is used in most procedures including coil embolization, stenting, and flow diversion. However, because of variable individual pharmacodynamics responses to antiplatelet drugs, especially clopidogrel, it is difficult for clinicians to select the adequate antiplatelet regimen and its optimal dose. This article reviews the neurointervention literature related to antiplatelet therapy and suggests a strategy for tailoring antiplatelet therapy in individual patients undergoing neurointervention based on the results of platelet function testing.

Eighteen Years of Follow-up after Resection of a Giant Coronary Artery Aneurysm and Reconstruction with a Vein Graft

  • Kwon, Yelee;Park, Chong Bin;Kang, Pil Je;Cho, Won Chul
    • Journal of Chest Surgery
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    • v.54 no.3
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    • pp.221-223
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    • 2021
  • Giant coronary artery aneurysms are rare and challenging to treat because of variation in the presenting symptoms and the lack of established management guidelines. We report the case of a patient with a 6-cm-wide giant coronary artery aneurysm that was resected, followed by reconstruction using a saphenous vein graft and 18 years of follow-up.

Study on the Correlation Between Occupation and Chronic Degenerative Disease

  • KWON, Lee-Seung;KIM, Su-Hye;JUNG, Min-Jae
    • Journal of Wellbeing Management and Applied Psychology
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    • v.4 no.1
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    • pp.11-18
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    • 2021
  • Purpose: This study aims to explore the correlation between job and hypertension. Hypertension is a major risk factor such as stroke, myocardial infarction, heart failure, and vascular aneurysms. Research design, data and methodology: The data from this study are the 2017 National Health and Nutrition Examination Survey classified into office workers and non-office workers. Frequency analysis was used for general characteristics analysis, and ANOVA test analysis was used for correlation between subjects' basic variables and blood pressure. The post analysis as turey was used to verify the validity of the statistical results. All statistical analyzes were performed using the IBM SPSS 24.0 program. Results: There was a difference in the prevalence of hypertension among office workers and non-office workers.

A Case of Spontaneous Cervical Hematoma caused by Parathyroid Adenoma (부갑상선 선종으로 인한 자발적 경부 혈종 1예)

  • Jeon, Gyeong Hwa;Oh, Hyeon Seok;Byeon, Hyung Kwon
    • Korean Journal of Head & Neck Oncology
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    • v.37 no.2
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    • pp.101-104
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    • 2021
  • Spontaneous cervical hematomas could lead to life-threatening complications, and aneurysms, retopharyngeal abscesses, parathyroid adenomas, laryngeal cysts, and neurogenic tumors should be distinguished as possible underlying causes. Symptoms accompanying spontaneous cervical hematoma include cervical swelling, ecchymosis, dysphagia, dyspnea and hoarseness. We recently experienced a case of spontaneous cervical hematoma in a 52-year-old woman, who initially presented with cervical swelling after severe coughing two days ago. Resultingly parathyroid adenoma was finally confirmed after mass excision. Therefore, we present this unique case with a review of the literature.

Debranch-First Technique with Zone 0 Elephant Trunk for Redo Operation of Residual Type B Aortic Dissection: The Completion of Aortic Proximalization

  • Yoshito Inoue
    • Journal of Chest Surgery
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    • v.57 no.1
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    • pp.99-102
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    • 2024
  • This article presents a straightforward hybrid arch technique for treating residual type B aortic dissecting aneurysms following type A repair (replacement of the ascending aorta) that employs a frozen elephant trunk (FET) straight vascular prosthesis. The debranch-first method involves only cutting and sewing the previous ascending graft, inserting the FET from zone 0, and debranching the arch vessels using a trifurcated graft. This technique is less invasive as it eliminates the need to manipulate the dissected distal arch aneurysm. We successfully applied this technique to 3 patients, with no instances of in-hospital death, stroke, or paraplegia. The debranch-first technique, combined with zone-0 FET insertion, simplifies the redo repair of residual type B aortic dissection.

Pathologic change of an arterialized giant venous aneurysm of a brachiocephalic arteriovenous fistula

  • Su Wan Kim;Jonggeun Lee;Seogjae Lee;Jee Won Chang;Chang Lim Hyun
    • Journal of Medicine and Life Science
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    • v.20 no.4
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    • pp.178-182
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    • 2023
  • Aneurysmal venous dilatation is a frequent complication of arterio venous fistulas (AVFs) created for hemodialysis. Venous aneurysm rupture can lead to lethal hemorrhage. A 49-year-old male patient presented with a giant aneurysmal dilatation of his AVF 10 years after its creation. The patient had complaints of pulsating pain and discomfort due to swelling of the left forearm. We performed an aneurysm resection and revised the overlying dermal lesion through a brachial plexus block. Here, we describe the pathological features of the arterialized venous aneurysm compared to simple venous aneurysms.