• Title/Summary/Keyword: Neurosurgery

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Endovascular Treatment of Incompletely Clipped Cerebral Aneurysm - Case Report - (불완전하게 결찰된 뇌동맥류의 혈관내치료 - 증 례 보 고 -)

  • Lim, Dong-Jun;Lee, Hoon-Kap;Cho, Tae-Hyoung;Chung, Yong-Gu;Kim, Se-Hoon;Kim, Keun-Hoe;Kwon, Taek-Hyun;Chung, Heung-Seob;Park, Jung-Yul;Park, Youn-Kwan;Lee, Ki-Chan;Suh, Jung-Keun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.533-536
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    • 2001
  • Residual aneurysm is a challenging problem after clipping procedure for the aneurysms. The anthors describe one patient in whom endovascular treatment was sucessfully done to treat residual aneurysm after surgical clipping. We discussed the role of endovascular coil occlusion in case of incomplete surgical obliteration of aneurysms.

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Proposal for the Promotion of Korean Neurosurgery

  • Choi, Joong-Uhn
    • Journal of Korean Neurosurgical Society
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    • v.43 no.1
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    • pp.1-4
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    • 2008
  • The author conducted a survey on the current status of neurosurgery around the world in preparation for Presidential Address at the International Society for Pediatric Neurosurgery (ISPN). The addresses and findings from the survey were presented at ISPN in 2006 and Child's Nervous System in 2007. After reviewing the current status of neurosurgery of various countries, the author would like to share this information with members of the Korean Neurosurgical Society, as well as offer a proposal to promote Korean neurosurgery around the world.

Percutaneous Radiofrequency Thermocoagulation in Trigeminal Neuralgia : Analysis of Early and Late Outcomes of 156 Cases and 209 Interventions

  • Gunduz, Hasan Burak;Cevik, Orhun Mete;Asilturk, Murad;Gunes, Muslum;Uysal, Mustafa Levent;Sofuoglu, Ozden Erhan;Emel, Erhan
    • Journal of Korean Neurosurgical Society
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    • v.64 no.5
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    • pp.827-836
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    • 2021
  • Objective : Trigeminal neuralgia is one of the most common causes of facial pain. Our aim is to investigate the efficacy and borders of percutaneous radiofrequency thermocoagulation in the treatment of trigeminal neuralgia. Methods : Between May 2007 and April 2017, 156 patients with trigeminal neuralgia were treated with radiofrequency thermocoagulation. These 156 patients underwent 209 procedures. In our study, we investigated the early and late results of percutaneous radiofrequency thermocoagulation under guiding fluoroscopic imaging in the treatment of trigeminal neuralgia. Barrow Neurological Institute (BNI) pain scale was used for grading the early results. In addition, Kaplan-Meier survival analysis was used to assess long-term outcomes. Of the 156 patients who underwent radiofrequency thermocoagulation for trigeminal neuralgia, 45 had additional disease. Patients with this condition were evaluated with their comorbidities. Early and late results were compared with those without comorbidity. Results : In 193 of 209 interventions BNI pain scale I to III results were obtained. Out of the 193 successful operation 136 patients (65.07%) were discharged as BNI I, 14 (6.70%) as BNI II, 43 (20.58%) as BNI III. Sixteen patients (7.65%) remained uncontrolled (BNI IV and V). While the treatment results of trigeminal neuralgia patients with comorbidity seem more successful in the early period, this difference was not observed in follow-up examinations. Conclusion : Finally, we concluded that percutaneous radiofrequency thermocoagulation of the Gasserian ganglion is a safe and effective method in the treatment of trigeminal neuralgia. However, over time, the effectiveness of the treatment decreases. Neverthless, the reapprability of this intervention gives it a distinct advantage.

Indirect revascularization surgery for moyamoya disease in children and its special considerations

  • Wang, Kyu-Chang;Phi, Ji Hoon;Lee, Ji Yeoun;Kim, Seung-Ki;Cho, Byung-Kyu
    • Clinical and Experimental Pediatrics
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    • v.55 no.11
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    • pp.408-413
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    • 2012
  • Moyamoya disease (MMD) is the most common pediatric cerebrovascular disease in Far Eastern countries. In children, MMD frequently manifests as ischemic symptomatology. Cerebral perfusion gradually decreases as the disease progresses, which often leads to cerebral infarction. The benefits of revascularization surgery, whether direct or indirect, have been well established in MMD patients with ischemic symptoms. In adults, the increase in cerebral blood flow achieved with indirect revascularization is often unsatisfactory, and direct revascularization is usually feasible. In children, however, direct revascularization is frequently technically not feasible, whereas the response to indirect revascularization is excellent, although 1 or 2 weeks are required for stabilization of symptoms. The authors describe surgical procedures and perioperative care in indirect revascularization for MMD. In addition, special considerations with regard to very young patients, patients with recent cerebral infarction, and patients with hyperthyroidism are discussed.

Image-guided Stereotactic Neurosurgery: Practices and Pitfalls

  • Jung, Na Young;Kim, Minsoo;Kim, Young Goo;Jung, Hyun Ho;Chang, Jin Woo;Park, Yong Gou;Chang, Won Seok
    • Journal of International Society for Simulation Surgery
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    • v.2 no.2
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    • pp.58-63
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    • 2015
  • Image-guided neurosurgery (IGN) is a technique for localizing objects of surgical interest within the brain. In the past, its main use was placement of electrodes; however, the advent of computed tomography has led to a rebirth of IGN. Advances in computing techniques and neuroimaging tools allow improved surgical planning and intraoperative information. IGN influences many neurosurgical fields including neuro-oncology, functional disease, and radiosurgery. As development continues, several problems remain to be solved. This article provides a general overview of IGN with a brief discussion of future directions.

Synchronous Carotid Body and Glomus Jugulare Tumors : A Case Report and Review of Literature

  • Md Atikur Rahman;Tejas Venkataram;Riad Habib;Nwoshin Jahan;Farid Raihan;Shamsul Alam;Ehsan Mahmood;Giuseppe E Umana;Bipin Chaurasia
    • Journal of Korean Neurosurgical Society
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    • v.67 no.1
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    • pp.122-129
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    • 2024
  • Paragangliomas are rare neuroendocrine tumors that are usually benign in nature. They may be either familial or sporadic in their occurrence. Numerous neuroendocrine tumors are collectively included under the umbrella of paragangliomas. Among them, carotid body tumors and glomus jugulare tumors are extremely rare. Thus, we present a rare case of 29-year-old male who was admitted with hearing difficulties and tinnitus in the left ear, with swelling on the left side of the neck. Based on clinical and radiological findings, a diagnosis of left-sided glomus jugulare with carotid body tumor was made. The patient underwent a two-stage surgery with an interval of approximately 2 months. Histopathology revealed a paraganglioma. Herein, we present the clinical features, imaging findings, management, and a brief review of literature on the classification, evaluation, and management of carotid body and glomus jugulare tumors. Paraganglioma is a slow-growing tumor. The synchronous occurrence of carotid body and glomus jugulare tumors is infrequent. Microsurgical resection remains the primary treatment modality. Therefore, our patient underwent two-stage surgery. The rarity of occurrence and the proximity and adherence to vital neurovascular structures have resulted in the treatment of paragangliomas remaining a challenge.