CT scan has recently revolutionized diagnostic pediatric neurology. Thus the magnitude of childhood stroke may be larger than that of previously realized. The early recognition and treatment of major risk factors become important in order to prevent stroke in children. We have experienced 7 cases of childhood stroke which were confirmed by CT scan.
Child* ; Humans ; Neurology ; Risk Factors ; Stroke* ; Tomography, X-Ray Computed

We have experienced 10 cases of intracranial tuberculoma which were confirmed by CT scan in National Medical Center from Jan. '79 to Aug. '82. The analysis is based on 10 cases with intracranial tuberculoma on whom operation was performed in 7 cases and conservative treatment was done in 3 cases. Extracranial disease or a past history of tuberculosis are evident in half of patients. The common presenting features are intracranial hypertension and papilledema. These are usually located in the supratentorial region. The use of CT brain scanning can be of great help in diagnosis and follow up more than others. The current treatment consists of medical therapy such as combined antituberculous agents, but surgical exploration may be reserved for intractable seizure, suspected brain tumor and medical failure or severe intracranial hypertension.
Brain ; Brain Neoplasms ; Diagnosis ; Follow-Up Studies ; Humans ; Intracranial Hypertension ; Papilledema ; Seizures ; Tomography, X-Ray Computed ; Tuberculoma, Intracranial* ; Tuberculosis

The posterior lumbar interbody fusion not only has the advantage of avoiding collapse of the motion segment, it also accomplishes wide decompression of all neural components and distraction of the interverteral disc space. The modified technique of posterior lumbar interbody fusion with preservation of facet and cortical plate alleviates postoperative slippage and settlement. And also, modern improvements in operative illumination, better control of epidural hemorrhage by proper positioning of the patient, and the use of Surgicel as a tamponade in retracting epidural veins and dura definitely improve the technical feasibility of PLIF. Recently we encountered 3 cases of PLIF and the postoperative results were excellent.
Decompression ; Hemorrhage ; Humans ; Lighting ; Low Back Pain ; Veins

In lumbar myelography many side effects occurs in about half the patients examined with modern contrast media. We used amipaque, water soluble contrast media for lumbar myelography in 14 patients with herniated lumbar disc. At myelography with amipaque the side effects are usually minor and serious adverse reactions are rare. Amipaque is of greatest advantage in examination of small structures such as roots, root pockets and blood vessels in spinal subarachnoid space.
Blood Vessels ; Contrast Media ; Humans ; Metrizamide* ; Myelography* ; Subarachnoid Space

Computed tomographic findings were analyzed in 46 patients with hypertensive putaminal hemorrhage accompainied by hemiparesis. It has been important prognostic index whether to involve or not to involve posterior limb of internal capsule. To study the reason for this, the relationship between the extent of a hematoma and the level ar which the pyramidal tract was destroyed was investigated. From the consideration of the process of destruction of the pyramidal tract by a hematoma, it seemed that computed tomographic findings at the level of the body of the lateral ventricle rather than at the prognosis of hemiparesis.
Extremities ; Hematoma ; Humans ; Internal Capsule ; Lateral Ventricles ; Paresis ; Prognosis* ; Putaminal Hemorrhage* ; Pyramidal Tracts

We report a case of disseminated calcific cysticercosis of brain, accompanied with marked hydrocephalus. Histopathologically, the calcific spots consisted of mummified scolex and bladder of cysticercus cellulosae with a diffuse calcification, but no area of cystic change were noted. Surrounding brain tissue showed a dense fibrous reaction and gliosis with little foreign body reaction.
Brain* ; Cysticercosis ; Cysticercus ; Foreign-Body Reaction ; Gliosis ; Hydrocephalus ; Urinary Bladder

Disseminated intravascular coagulation(DIC) occurs rarely in head injury, but has not previously been reported following elective brain tumor surgery. There have been two case reports of DIC associated with primary brain tumors in the world literature. Vardi et al.(1974) reported an autopsy case(19F) of DIC associated with a medically treated oligodendroglioma in the left parietotemporal lobe invaded the ventricle. The second case(23F) was reported by Matjasko and Ducker and the case developed fulminating DIC during the removal of a third ventricular perihypothalamic oligodendroglioma. They couldn't get autopsy permission. The authors report the occurrence of fulminating DIC following removal of a fourth ventricular Ependymoma in a 5-yr. old boy, which was conformed by autopsy. This may be the third case of DIC associated with primary brain tumor and the first autopsy case of DIC developing following removal of Ependymoma in the fourth ventricle.
Autopsy ; Brain Neoplasms ; Craniocerebral Trauma ; Dacarbazine ; Disseminated Intravascular Coagulation* ; Ependymoma* ; Fourth Ventricle ; Humans ; Male ; Oligodendroglioma

The authors analized the 98 cases of cervical spine injuries without fracture or dislocation by hyperflexion/hyperextension of the neck. The peak incidence of the age was in the second to fourth decades(69.4%). There was a male preponderance with a sex ratio of. 1.8 : 1. Sources of trauma were motor vehicle accident, object falling on and motorcycle accident in the order of frequency. The common mechanisms of injury were flexion-extension, extension and flexion injury in the order of frequency. There were 10 cases of cervical cord injury without fracture or dislocation and operative management was given in 6 cases of them. The most common preexisting disease was congenital cervical stenosis. Surgical modality such as laminectomy, laminoplasty and anterior decompressive procedure made them improved. The authors discuss the mechanism of injury and surgical management of the patients with cervical cord injury in the absence of concomittent fracture or dislocation.
Constriction, Pathologic ; Dislocations* ; Humans ; Incidence ; Laminectomy ; Male ; Motor Vehicles ; Motorcycles ; Neck ; Preexisting Condition Coverage ; Sex Ratio ; Spine*

The author experienced 2 cases of cerebellar abscess, which were secondary to otogenic disease. Increased intracranial pressure signs were developed, in one case from the PTA 3 days and in the other case 12 days after radical mastoidectomy in patient with chronic otitis media. Brain CT scan. Revealed ring enhanced hypodensity on posterior fossa. Total excisions were made with complete recovery: First case 3/4 2 stage operation, aspiration and total excision. Second case 3/4 Total excision.
Abscess* ; Brain ; Humans ; Intracranial Pressure ; Otitis Media ; Tomography, X-Ray Computed

The author experienced 2 cases of cerebellar abscess, which were secondary to otogenic disease. Increased intracranial pressure signs were developed, in one case from the PTA 3 days and in the other case 12 days after radical mastoidectomy in patient with chronic otitis media. Brain CT scan. Revealed ring enhanced hypodensity on posterior fossa. Total excisions were made with complete recovery: First case 3/4 2 stage operation, aspiration and total excision. Second case 3/4 Total excision.
Abscess* ; Brain ; Humans ; Intracranial Pressure ; Otitis Media ; Tomography, X-Ray Computed