1.Preservation of the Semicircular Canals and Postoperative Hearing in Acoustic Neurinoma Surgery.
Journal of Korean Neurosurgical Society 1990;19(10-12):1339-1350
No abstract available.
Acoustics*
;
Ear, Inner
;
Hearing*
;
Neuroma, Acoustic*
;
Semicircular Canals*
2.Brown-Séquard Syndrome and Cervical Vertebral Fractures after Blunt Cervical Trauma in a Traffic Accident - A Case Report -.
Seung Pyo SUH ; Won Rak CHOI ; Chang Nam KANG
Journal of Korean Society of Spine Surgery 2017;24(4):252-256
STUDY DESIGN: Case report OBJECTIVES: To report a case of Brown-Séquard syndrome after blunt cervical trauma. SUMMARY OF LITERATURE REVIEW: Brown-Séquard syndrome is a rare disease characterized by hemisection of the spinal cord, and it shows the best prognosis of the various types of incomplete spinal cord injuries. MATERIALS AND METHODS: A patient with Brown-Séquard syndrome that occurred after a traffic accident was followed up for 2 years and 6 months. RESULTS: We observed normal recovery of motor strength, but sensory impairment and deep tendon hyperreflexia remained. CONCLUSIONS: Brown-Séquard syndrome is known to have a good prognosis, but in this case, the neurological abnormality did not fully recover; therefore, we report this rare case and present a review of the literature.
Accidents, Traffic*
;
Cervical Vertebrae
;
Female
;
Humans
;
Prognosis
;
Rare Diseases
;
Reflex, Abnormal
;
Spinal Cord
;
Spinal Cord Injuries
;
Tendons
3.Analysis of Gas Study in Acute Brain Lesions.
Journal of Korean Neurosurgical Society 1974;3(1):41-48
We performed experiments to study the effects of acutely increased inracranial pressure on cereral gas metabolism. The results and findings were reported to The Journal of Catholic Medical College,(Vol. 24) 1973. We thereafter evaluated cerebral gas metabolism of fifty patients with acute cerebral lesions. Cerebral gas metabolism was measured by determining the pO2, pCO2, and pH values of arterial and venous blood and of the cerebrospinal fluid. Samplings of venous blood were obtained from the internal jugular vein. In the determination of the pH, pO2 and pCO2 of arterial and venous blood and cerebro-spinal fluid, the "Radiometer BMS 3 with Digital Acid-Base Analyser PHM 72" was used. These 50 patients had their gas metabolism measured at interval of 2 or 3 days, from the time of their admission to the time of either their recovery or death. The following observations were made 1. The 50 patients studied and observed included. a) Brain contusion 13 cases. b) Epidural or subdural hematoma 11 cases. c) Skull fracture 10 cases. d) Intracerebral hemorrhage 5 cases. e) Scalp laceration 1 cases. f) Arteriovenous malformation or cerebral rete 5 cases. g) Traumatic subarachnoid hemorrhage 1 cases. h) Intracranial aneurysm 4 cases. 2. There 50 patients have been subdivided according to level of consciousness as follows: a) Group A-Those who were alert with no neurological deficit. b) Group B-Those who were drowsy with mild neurological deficit. c) Group C-Those who were stuporous with severe neurological deficit. d) Group D-Those who were in coma. 3. It was observed that the pH, pO2, and pCO2 content of the arterial and venous blood and cerebrospinal fluid of those in Group A were within normal ranges. 4. Many cases classified under Group B had respiratory alkalosis of the arterial blood. However those who recovered or became worse revealed no noticeable changes in the cerebral gas metabolism studies. 5. Many cases classified under Group C had respiratory alkalosis in their arterial blood but only a few showed metabolic acidosis in the cerebrospinal fluid. However the patients who became worse manifested a marked metabolic acidosis in the cerebrospinal fluid. 6. Several patients in Group D had severe respiratory alkalosis as well as metabolic alkalosis in their arterial blood and marked metabolic acidosis in the their cerebrospinal fluid. 7. "Luxury perfusion syndrome" was not seen in any of the fifty cases studied. 8. Only a few cases manifested arterial hypoxemia in the all group. We believe this was due to the fact that tracheostomy and hyperventilation were done in the early stages with the aim of reducing the raised intracranial pressure.
Acidosis
;
Alkalosis
;
Alkalosis, Respiratory
;
Anoxia
;
Arteriovenous Malformations
;
Brain Injuries
;
Brain*
;
Cerebral Hemorrhage
;
Cerebrospinal Fluid
;
Coma
;
Consciousness
;
Hematoma, Subdural
;
Humans
;
Hydrogen-Ion Concentration
;
Hyperventilation
;
Intracranial Aneurysm
;
Intracranial Pressure
;
Jugular Veins
;
Lacerations
;
Metabolism
;
Perfusion
;
Reference Values
;
Scalp
;
Skull Fractures
;
Stupor
;
Subarachnoid Hemorrhage, Traumatic
;
Tracheostomy
4.Microvascular Decompressive Surgical Approach to the 5th, 7th & 9th Cranial Nerves.
Chang Rak CHOI ; Myung Soo AHN ; Jin Un SONG
Journal of Korean Neurosurgical Society 1984;13(2):269-277
Recently microvascular decompressive approach to the hyperactive type of low cranial nerves dysfunction has been popular procedures in neurosurgical operation. The neurosurgical teams at St. Paul's Hospital, Catholic Medical College operated on 11 patients employing this technique for 2 years. The patients were diagnosed as 9 patients with hemifacial spasm, one with trigeminal neuralgia, and one with glossopharyngeal neuralgia. The results were very encouraging of the 10 patients. But remaining one patient was failed with therapy. The authors would like to share with you their experiences employing the microvascular surgical technique, the results & the prognosis.
Cranial Nerves*
;
Glossopharyngeal Nerve Diseases
;
Hemifacial Spasm
;
Humans
;
Microvascular Decompression Surgery
;
Prognosis
;
Trigeminal Neuralgia
5.Successful Treatment of Infantile Cerebral Hemorrhage.
Chang Rak CHOI ; Suck Hoon YOON ; Jin Un SONG
Journal of Korean Neurosurgical Society 1979;8(2):457-466
It is established that intracranial hemorrhage is relatively common benign intracranial diseases in adult. This is very rare in children reports are limited to a few cases or to those cited in reviews of series of intracranial hemorrhage in adult group. We wish to report three cases of large intracranial hematoma in three infants. The diagnosis was greatly facilitated by the CT scan and the treatment did by the microsurgical methods.
Adult
;
Cerebral Hemorrhage*
;
Child
;
Diagnosis
;
Hematoma
;
Humans
;
Infant
;
Intracranial Hemorrhages
;
Tomography, X-Ray Computed
6.STA-MCA Anastomosis: 9 Cases.
Myung Soo AHN ; Gi Won SUNG ; Chang Rak CHOI
Journal of Korean Neurosurgical Society 1983;12(4):657-665
Since 1967 the STA-MCA anastomosis has been popular procedure in neurosurgical operation. The meurosurgical teams at St. Paul's Hospital, Catholic Medical College, recently operated on 8 patients employing 9 times of this technique. The patients were diagnosed as four patients with complete stroke, one with traumatic middle cerebral stenosis, two with moyamoya disease, and one with huge aneurysm at intracavernous portion of ICA. The results were very encouraging of the 8 patients, 7 had favorably improved clinically, and proved by follow-up cerebral angiographies, CT Scanning, EEG or MEP recordings. The remaining one patient had intracerebral and intracerebellar hematoma, two months later after discharge, thus the result was poor. The authors would like to share with you their experiences employing the STA-MCA anastomosis technique, indications the results and the prognosis.
Aneurysm
;
Cerebral Angiography
;
Constriction, Pathologic
;
Electroencephalography
;
Follow-Up Studies
;
Hematoma
;
Humans
;
Moyamoya Disease
;
Prognosis
;
Stroke
;
Tomography, X-Ray Computed
7.The Effect of Actigan Treatment in Neurologic Diseases.
Myung Soo AHN ; Chang Rak CHOI
Journal of Korean Neurosurgical Society 1983;12(4):649-655
20 patients who were diagnosis neurologic diseases were treated deproteinized extract Actigen for 1-2 weeks. Comparing before and after treatment, clinical state, EEG, MEP, CT Scan and CBF have been improved to postmedicated state. According to above findings, it is indirectly confirmed that Actigen is improve brain motabolism, cerebral blood flow and peripheral blood flow. During medication there are no side effects and complications.
Brain
;
Diagnosis
;
Electroencephalography
;
Humans
;
Tomography, X-Ray Computed
8.Stereotaxic Surgery for Dystonia.
Chang Rak CHOI ; Myung Soo AHN
Journal of Korean Neurosurgical Society 1983;12(4):637-639
Our experienced is based on a series of 5 cases of dystonia who underwent stereotaxic thalamotomy. The immediate good results have been obtained by thalamotomy. We have been able to estimate secondary deterioration on long term results in patients examined 2-5 years postoperatively. Some deterioration is noted patients operated on for athetosis over the age of 20. A pallido-subthalamic lesion is efficient at the beginning of the disease course since it improves motor performance and thereby helps possiblities of intellectual acquirement. Bilateral lesions have done after improved. I.Q. Effects of this treatment specially on spasticity must be discussed among other types of surgery.
Athetosis
;
Dystonia*
;
Humans
;
Muscle Spasticity
9.Normal Statistical Considerations of Latencies of I, III & V-waves, and I-V, I-III, & III-V IPL in Brainstem Auditory Evoked Potentials.
Myung Soo AHN ; Chang Rak CHOI ; Jin Un SONG
Journal of Korean Neurosurgical Society 1983;12(4):613-617
Recently, brainstem auditory evoked potential is very important for the evaluation of functions of the 8th nerve & brainstem. Especially, it appears that waves I, III, and V primarily represent volume- conducted electrical activity from the acoustic nerve, pons and midbrain, respectively, and that latencies between these three potentials indirectly reflect neural conduction in the corresponding segments of the central auditory pathway. For example, wave I to wave III interpeak latency(I-III IPL) is a measure of conduction in the more caudal segment of the brainstem auditory pathway-acoustic nerve and potomedullary portion-while the III-V IPL is a measure of conduction in the more rostral pontine and midbrain portions of the pathway. This study was undertaken to identify the normal measurements of the waves I, III and V and I-III IPL, III-V IPL in order to for provide basic data for clinical use in diagnosis, monitering in operation and management of patients with brainstem lesions. The literature is reviewed and results compared to the current study.
Auditory Pathways
;
Brain Stem*
;
Cochlear Nerve
;
Diagnosis
;
Evoked Potentials, Auditory, Brain Stem*
;
Humans
;
Mesencephalon
;
Neural Conduction
;
Pons
10.Clinical Observations of microabscess: Its diagnosis & managements.
Chang Rak CHOI ; Myung Soo AHN ; Jin Un SONG
Journal of Korean Neurosurgical Society 1983;12(4):599-605
Recently for 2 years, 24 cases of microabscesses have been experienced and treated at St. Paul's Hospital, Catholic Medical College. Investigations had been made & analyzed to characteristic clinical symptoms and signs, typical CT findings and therapeutic management and prognosis. The CT scan is most choice of and early and accurate diagnosis and has made feasible the follow up of the evolution and eventual resolution of abscess lesions. In the authors opinion and experience, when microabscess is diagnosed at it early stage, it could be treated in 2week with the administration of antibiotics & not need any other surgical interventions.
Abscess
;
Anti-Bacterial Agents
;
Diagnosis*
;
Follow-Up Studies
;
Prognosis
;
Tomography, X-Ray Computed