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Surgical Tips to Preserve the Facet Joint during Microdiscectomy

Park MK, Kim KT, Cho DC, Sung JK

Lumbar microdiscectomy (MD) is the gold standard for treatment of lumbar disc herniation. Generally, the surgeon attempts to protect the facet joint in hopes of avoiding postoperative pain/instability and secondary...
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Split Cord Malformation Combined with Tethered Cord Syndrome in an Adult

Kim YD, Sung JH, Hong JT, Lee SW

Split cord malformations (SCMs) usually present in childhood, and are rarely reported in adults. And also, a cervicothoracic SCM associated with tethered cord syndrome has very rarely been reported in...
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Feasibility of Endoscopic Endonasal Approach for Recurrent Pituitary Adenomas after Microscopic Trans-Sphenoidal Approach

Hwang JM, Kim YH, Kim JW, Kim DG, Jung HW, Chung YS

OBJECTIVE: The surgical approach for recurrent pituitary adenoma after trans-sphenoidal approach (TSA) is challenging. We report the outcomes of the endoscopic TSA for recurrent pituitary adenoma after microscopic TSA. METHODS: From...
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Delayed Retroperitoneal Hemorrhage due to Lumbar Artery Pseudoaneurysm after Lumbar Posterolateral Fusion

Oh YM, Choi HY, Eun JP

A 55-year-old female patient presented with lower back pain and neurogenic intermittent claudication and underwent L3-L4 posterolateral fusion. To prepare the bone fusion bed, the transverse process of L3 and...
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Cervical Compressive Myelopathy due to Anomalous Bilateral Vertebral Artery

Ha EJ, Lee SE, Jahng TA, Kim HJ

We report a very rare case of cervical compressive myelopathy by an anomalous bilateral vertebral artery (VA) entering the spinal canal at the C1 level and compressing the spinal cord....
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Clinical Analysis of Intracranial Hemangiopericytoma

Park BJ, Kim YI, Hong YK, Jeun SS, Lee KS, Lee YS

OBJECTIVE: Intracranial hemangiopericytomas (HPCs) are rare tumors with aggressive behavior, including local recurrence and distant metastasis. We conducted this retrospective study to evaluate the efficacy of grossly total resection and...
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Galeal Tack-Up Sutures to Prevent Subgaleal Cerebrospinal Fluid Collection

Choi WH, Moon CT, Koh YC, Chun YI, Cho J, Song SW

OBJECTIVE: Postoperative subgaleal cerebrospinal fluid (CSF) collection is considered as one of the common minor surgical complication which can lead to prolonged hospitalization. We introduce "galeal tack-up suture" to prevent...
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Spinal Extradural Arachnoid Cyst

Choi SW, Seong HY, Roh SW

Spinal extradural arachnoid cyst (SEAC) is a rare disease and uncommon cause of compressive myelopathy. The etiology remains still unclear. We experienced 2 cases of SEACs and reviewed the cases...
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The Efficacy and Perioperative Complications Associated with Lumbar Spinal Fusion Surgery, Focusing on Geriatric Patients in the Republic of Korea

Kim IC, Hur JW, Kwon KY, Lee JJ, Lee JW, Lee HK

OBJECTIVE: The purpose of this study was to examine the efficacy and perioperative complications associated with lumbar spinal fusion surgery, focusing on geriatric patients in the Republic of Korea. METHODS: We...
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Supratentorial Intracerebral Schwannoma : Its Fate and Proper Management

Lee S, Park SH, Chung CK

Intracerebral schwannomas are rare and there have been none reported in Korea. We present the case of a 25-year-old man with newly developed right-side weakness and recent seizure aggravation. His...
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Cystic Giant Sacral Schwannoma Mimicking Aneurysmal Bone Cyst : A Case Report and Review of Literatures

Cho DY, Hur JW, Shim JH, Kim JS

To present a rare case of a cystic giant schwannoma of the sacrum mimicking aneurysmal bone cyst (ABC). A 54-year-old man visited our institute complaining left leg weakness and sensory...
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Analysis of Measurement Accuracy for Craniovertebral Junction Pathology : Most Reliable Method for Cephalometric Analysis

Lee HJ, Hong JT, Kim IS, Kwon JY, Lee SW

OBJECTIVE: This study was designed to determine the most reliable cephalometric measurement technique in the normal population and patients with basilar invagination (BI). METHODS: Twenty-two lateral radiographs of BI patients and...
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Phrenic Nerve Stimulation for Diaphragm Pacing in a Quadriplegic Patient

Son BC, Kim DR, Kim IS, Hong JT

Chronic hypoventilation due to injury to the brain stem respiratory center or high cervical cord (above the C3 level) can result in dependence to prolonged mechanical ventilation with tracheostomy, frequent...
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The Usefulness of the Ivy Sign on Fluid-Attenuated Intensity Recovery Images in Improved Brain Hemodynamic Changes after Superficial Temporal Artery-Middle Cerebral Artery Anastomosis in Adult Patients with Moyamoya Disease

Lee JK, Yoon BH, Chung SY, Park MS, Kim SM, Lee DS

OBJECTIVE: MR perfusion and single photon emission computerized tomography (SPECT) are well known imaging studies to evaluate hemodynamic change between prior to and following superficial temporal artery (STA)-middle cerebral artery...
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Pre- and Post-Angioplasty Perfusion CT with Acetazolamide Challenge in Patients with Unilateral Cerebrovascular Stenotic Disease

You SH, Jo SM, Kim YJ, Lee JH, Jo KD, Park WS

OBJECTIVE: Perfusion computed tomography (PCT) has the ability to measure quantitative value and produce maps of mean transit time (MTT), cerebral blood flow (CBF), and cerebral blood volume (CBV). We...
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Significance of C-Reactive Protein and Transcranial Doppler in Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage

Hwang SH, Park YS, Kwon JT, Nam TK, Hwang SN, Kang H

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...
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Prognostic Factors and Clinical Outcomes of Acute Intracerebral Hemorrhage in Patients with Chronic Kidney Disease

Kim JK, Shin JJ, Park SK, Hwang YS, Kim TH, Shin HS

OBJECTIVE: We conducted a retrospective study examining the outcomes of intracerebral hemorrhage (ICH) in patients with chronic kidney disease (CKD) to identify parameters associated with prognosis. METHODS: From January 2001 to...
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Clinical Outcome in Gamma Knife Radiosurgery for Metastatic Brain Tumors from the Primary Breast Cancer : Prognostic Factors in Local Treatment Failure and Survival

Choi SW, Kwon DH, Kim CJ

OBJECTIVE: Brain metastases in primary breast cancer patients are considerable sources of morbidity and mortality. Gamma knife radiosurgery (GKRS) has gained popularity as an up-front therapy in treating such metastases...
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