No abstract available.
Postpartum Period* ; Stroke*

Osteoblastoma is a rare benign bone tumor and is characterized hitologically by an abundant number of osteoblasts and by the presence of s large amount of osteoid tissue in a highly vascular matrix. The lesion is frequently encountered in children and adolescents with most of the cases occuring between the ages of 10 and 25 years. There is significant sex prevalence (M.: F.=2: 1). Up to now there has been few reports of a benign osteoblastoma occuring in the cervical spine. This report describes a boy of a benign osteoblastoma which involved the cervical vertebral arch and spinous process, presenting with pain and limitation of motion. He was given en-bloc resection of tumor mass and confirmed by histological examination. Postoperation result was good and he goes school without any problem in about 12 months of follow up.
Adolescent ; Child ; Follow-Up Studies ; Humans ; Male ; Osteoblastoma ; Osteoblasts ; Prevalence ; Spine

OBJECTIVE: Cerebral vasospasm is a common and potentially devastating complication of aneurysmal subarachnoid hemorrhage (aSAH). Inflammatory processes seem to play a major role in the pathogenesis of vasospasm. C-reactive protein (CRP) constitutes a highly sensitive inflammatory marker. Elevation of serum CRP levels has been demonstrated in patients with aSAH. The purpose of the current study was to evaluate the possible relationship between CRP levels in the serum and transcranial Doppler (TCD) and the development of vasospasm in patients with aSAH. METHODS: A total of 61 adult patients in whom aSAH was diagnosed were included in the study from November 2008 to May 2011. The patients' demographics, Hunt and Hess grade, Fisher grade, CT scans, digital subtraction angiography studies, and daily neurological examinations were recorded. Serial serum CRP measurements were obtained on days 1, 3, 5, 7, 9, 11 and 13 and TCD was measured on days 3, 5, 7, 9, 11 and 13. All patients underwent either surgical or endovascular treatment within 24 hours of their hemorrhagic attacks. RESULTS: Serum CRP levels peaked on the 3rd postoperative day. There were significant differences between the vasospasm group and the non-vasospasm group on the 1st, 3rd and 5th day. There were significant differences between the vasospasm group and the non-vasospasm group on the 3rd day in the mean middle cerebral artery velocities on TCD. CONCLUSION: Patients with high levels of CRP on the 1st postoperative day and high velocity of mean TCD on the 3rd postoperative day may require closer observation to monitor for the development of vasospasm.
Adult ; Aneurysm* ; Angiography, Digital Subtraction ; C-Reactive Protein* ; Demography ; Humans ; Intracranial Aneurysm ; Middle Cerebral Artery ; Neurologic Examination ; Organothiophosphorus Compounds ; Subarachnoid Hemorrhage* ; Vasospasm, Intracranial*

No abstract available.
Humans

A woman who had a spontaneous subarachnoid hemorrhage (SAH) and temporal intracerebral hemorrhge (ICH) without any causative lesions on computed tomography (CT) and digital angiography at the day of the stroke. She was considered to have an angiographically negative SAH and scheduled for a repeated angiography. While she was waiting for the next study, she developed a second hemorrhage. CT angiography showed an aneurysmal shadow in the course of the posterior cerebral artery. After the operation, the aneurysm proved to be a pseudoaneurysm.
Aneurysm ; Aneurysm, False* ; Angiography ; Female ; Hemorrhage ; Humans ; Posterior Cerebral Artery ; Stroke ; Subarachnoid Hemorrhage

No abstract available.
Thanatophoric Dysplasia*

No abstract available.
Chordoma*

Deep supratentorial veins are highly valuable in the diagnosis of hydrocephalus as well as deep seated telencephalic or diencephalic lesions. It is well known that the ends of the subependymal veins reach the wall of the frontal horn and the roof of the body of the lateral ventricle and when ventricles dilate, they are stretched and elongated in proportion to the degree of dilatation. Among the subependymal veins septal veins are most frequently visualized, so we can easily measure its length in lateral carotid phlebograms. The author calculated the ratio between the length of the septal vein and the distance from the frontal bone to the venous angle in 50 epileptic patients as normal control and in 29 patients with hydrocephalus to know how far the frontal horn reaches. The author also calculated the ratio between the height of the internal cerebral vein and the distance from the Twining's line to the vertex. The results were as follows ; 1) Internal cerebral veins were visualized in all patients and septal veins in 92.6% in epileptic patients and 76.3% in patients with hydrocephalus. 2) In epilepsy the ratio between the length of the septal vein and the distance from the frontal bone to the venous angle was 43.7+/-.68%. 3) In epilepsy the ratio between the distance from the frontal bone to the venous angle and the distance from the frontal bone to the occipital bone was 43.9+/-.00%. 4) In epilepsy the ratio between the distance from the Twining's line to the venous angle and the vertex was 34.8+/-.46%. 5) In epilepsy the ratio between the distance from the Twining's line to the highest point of the internal cerebral vein and the vertex was 37.9+/-.46%. 6) Septal veins were elongated in proportion to the enlargement of the lateral ventricles and they were rather elongated in epileptic patients who had extremely oblique and flat forehead. 7) Internal cerebral veins were displaced upward or downward under various influences.
Animals ; Cerebral Veins ; Diagnosis ; Dilatation ; Epilepsy ; Forehead ; Frontal Bone ; Horns ; Humans ; Hydrocephalus ; Lateral Ventricles ; Occipital Bone ; Veins*

The end of this month is the 30th birthday of Journal of Korean Neurosurgical Society. Since the first issue of Journal of Korean Neurosurgical Society published in October, 1972, it has been developed in its quality as well as the quantity. More than 4000 articles have been published and tremendous contribution for the development of Korean Neurosurgical Society was made by the journal. The authors review the history of Journal of Korean Neurosurgical Society including the problems in this situation and suggest the way to make the journal as an internationally famous one.
Korea ; Neurosurgery

Since the first grading system of the subarachnoid hemorrhage was introduced by Botterell in 1956, various grading systems have been presented-mostly based on Botterell's or Glasgow Coma Scale-and studied for their universal validity. At the beginning, management plan for the patients solely depended on the grade of the applied grading system but after introduction of CT and microscope into the diagnosis and surgery for the aneurysmal subarachnoid hemorrhage and better understanding and management of vasospasm, the role of grading system has been changed to emphasize more on the predictability of the postsurgical outcome. The author reviewed the most popular and widely used grading systems to figure out their significance in predicting outcome and clinical applicability.
Classification ; Coma ; Diagnosis ; Humans ; Intracranial Aneurysm ; Subarachnoid Hemorrhage*