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Malignant Ascites after Subduroperitoneal Shunt in a Patient with Leptomeningeal Metastasis

Lee MH, Lee JI

Leptomeningeal metastasis is a devastating complication of advanced stage cancer. It is frequently accompanied by hydrocephalus and intracranial hypertension that must be treated by ventriculoperitoneal shunts. However, there are actual...
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The Comparison of Outcome between Thromboaspiration and Aggressive Mechanical Clot Disruption in Treating Hyperacute Stroke Patients

Lee HG, Rhim JK, Kim YH, Sheen SH, Oh SH, Chung BS

OBJECTIVE: Stroke is the third leading cause of death in the Republic of Korea. Time is the most important factor in hyperacute stroke. Yet, there had been no protocol for...
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Nocardia Brain Abscess in a Liver Transplant Recipient

Moon JH, Cho WS, Kang HS, Kim JE

Nocardia brain abscess is rare. We report on a unique case of N. farcinica brain abscess in a liver transplant recipient, following Aspergillus fumigatus pneumonia. A 43-year-old liver transplant recipient...
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Serial Magnetic Resonance Images of a Right Middle Cerebral Artery Infarction : Persistent Hyperintensity on Diffusion-Weighted MRI Over 8 Months

Son S, Choi DS, Choi NC, Lim BH

A lesion that is hyperintense on diffusion-weighted imaging (DWI) and hypointense on the apparent diffusion coefficient (ADC) map is a characteristic magnetic resonance imaging (MRI) finding in acute ischemic infarction....
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Atypical Extraventricular Neurocytoma

Choi H, Park SH, Kim DG, Paek SH

The authors report a case of atypical extraventricular neurocytoma (EVN) transformed from EVN which had been initially diagnosed as an oligodendroglioma 15 years ago. An 8-year-old boy underwent a surgical...
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Predicting Factors Affecting Clinical Outcomes for Saccular Aneurysms of Posterior Inferior Cerebellar Artery with Subarachnoid Hemorrhage

Hong YH, Kim CH, Che GS, Lee SH, Ghang CG, Choi YS

OBJECTIVE: The aim of this study is to investigate the clinical outcomes of surgery and coiling and analyze the predicting factors affecting the clinical outcomes of ruptured posterior inferior cerebellar...
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Inferolateral Entry Point for C2 Pedicle Screw Fixation in High Cervical Lesions

Lee KH, Kang DH, Lee CH, Hwang SH, Park IS, Jung JM

OBJECTIVE: The purpose of this retrospective study was to evaluate the efficacy and safety of atlantoaxial stabilization using a new entry point for C2 pedicle screw fixation. METHODS: Data were collected...
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Is Titanium Mesh Cage Safe in Surgical Management of Pyogenic Spondylitis?

Heo W, Kang DH, Park KB, Hwang SH, Park IS, Han JW

OBJECTIVE: To report our experience with pyogenic spondylitis treated with anterior radical debridement and insertion of a titanium mesh cage and to demonstrate the effectiveness and safety of the use...
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Position Change of the Neurovascular Structures around the Carpal Tunnel with Dynamic Wrist Motion

Kwon JY, Kim JY, Hong JT, Sung JH, Son BC, Lee SW

OBJECTIVE: The purpose of this study was to determine the anatomic relationships between neurovascular structures and the transverse carpal ligament so as to avoid complications during endoscopic carpal tunnel surgery. METHODS:...
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Activation of Matrix Metalloproteinases-9 after Photothrombotic Spinal Cord Injury Model in Rats

Jang JW, Lee JK, Kim SH

OBJECTIVE: Matrix metalloproteinases (MMPs), especially MMP-2 and MMP-9 have been known to play an important role in secondary inflammatory reaction after spinal cord injury (SCI). The aim of this study...
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Comparative Study of Posterior Lumbar Interbody Fusion via Unilateral and Bilateral Approaches in Patients with Unilateral Leg Symptoms

Seong JH, Lee JW, Kwon KY, Rhee JJ, Hur JW, Lee HK

OBJECTIVE: We investigated the clinical and radiological advantages of unilateral laminectomy in posterior lumbar interbody fusion (PLIF) procedure comparing with bilateral laminectomy, under the same procedural condition including bilateral instrumentation...
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Accuracy and Safety of Bedside External Ventricular Drain Placement at Two Different Cranial Sites : Kocher's Point versus Forehead

Park YG, Woo HJ, Kim E, Park J

OBJECTIVE: External ventricular drain (EVD) is commonly performed with a freehand technique using surface anatomical landmarks at two different cranial sites, Kocher's point and the forehead. The aim of this...
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Leukoencephalopathy and Disseminated Necrotizing Leukoencephalopathy Following Intrathecal Methotrexate Chemotherapy and Radiation Therapy for Central Nerve System Lymphoma or Leukemia

Kim JY, Kim ST, Nam DH, Lee JI, Park K, Kong DS

OBJECTIVE: Intrathecal methotrexate (MTX) therapy combined with whole brain radiotherapy (WBRT) is one of the major treatment modalities for leukemia and lymphoma involving the central nervous system (CNS). The purpose...
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Polymorphisms of Integrin, Alpha 6 Contribute to the Development and Neurologic Symptoms of Intracerebral Hemorrhage in Korean Population

Park HK, Jo DJ

OBJECTIVE: The extracellular matrix (ECM) and cell adhesion molecules play crucial roles in angiogenesis, apoptosis, thrombosis, and inflammation, and also contribute to the pathogenesis of stroke. Integrin, alpha 6 (ITGA6)...
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Urgent Recanalization with Stenting for Severe Intracranial Atherosclerosis after Transient Ischemic Attack or Minor Stroke

Park TS, Choi BJ, Lee TH, Song JS, Lee DY, Sung SM

OBJECTIVE: Stenting of symptomatic intracranial stenosis has recently become an alternative treatment modality. However, urgent intracranial stenting in patients with intracranial stenosis following a transient ischemic attack (TIA) or minor...
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The Safety and Efficacy of Cadaveric Allografts and Titanium Cage as a Fusion Substitutes in Pyogenic Osteomyelitis

Kim HW, Ryu JI, Bak KH

OBJECTIVE: The safety and efficacy of various fusion substitutes in pyogenic osteomyelitis has not been investigated. We evaluated and compared the cadaveric allograft and titanium cages used to reconstruct, maintain...
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Post-Traumatic Cerebral Infarction : Outcome after Decompressive Hemicraniectomy for the Treatment of Traumatic Brain Injury

Ham HY, Lee JK, Jang JW, Seo BR, Kim JH, Choi JW

OBJECTIVE: Posttraumatic cerebral infarction (PTCI), an infarction in well-defined arterial distributions after head trauma, is a known complication in patients with severe head trauma. The primary aims of this study...
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Gamma Knife Radiosurgery for Brainstem Metastasis

Yoo TW, Park ES, Kwon DH, Kim CJ

OBJECTIVE: Brainstem metastases are rarely operable and generally unresponsive to conventional radiation therapy or chemotherapy. Recently, Gamma Knife Radiosurgery (GKRS) was used as feasible treatment option for brainstem metastasis. The...
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Idiopathic Hypertrophic Spinal Pachymeningitis : Report of Two Cases and Review of the Literature

Kim JH, Park YM, Chin DK

Idiopathic hypertrophic spinal pachymeningitis (IHSP) is a rare inflammatory disease characterized by hypertrophic inflammation of the dura mater and various clinical courses that are from myelopathy. Although many associated diseases...
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Laminotomy with Continuous Irrigation in Patients with Pyogenic Spondylitis in Thoracic and Lumbar Spine

Kim SH, Lee JK, Jang JW, Seo BR, Kim TS, Kim SH

OBJECTIVE: Pyogenic spondylitis often results in acute neurological deterioration requiring adequate surgical intervention and appropriate antibiotic treatment. The purpose of this study was to conduct an analysis of the clinical...
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