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Status Quo of Severe Head Injury Management

Kim HJ

Traumatic brain injury (TBI) is a major health problem even in developed countries not to speak of under-developed countries despite declines in TBI over the past 20 years. However, there...
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Delayed Infection Following Cranioplasty: Review of 4 Cases

Ryu JI, Cheong JH, Kim JH, Kim CH, Kim JM

Currently, the accepted indications for cranioplasty are for cosmetic considerations and protection of intracranial structures. The complications of cranioplasty include delayed infection, subgaleal fluid accumulation, fracture of resin plate, and...
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An Expert Opinion on the Life Expectancy after Traumatic Brain Injury

Lee KS

Recently, there are a few reports on the life expectancy after head injury. Estimation of the expected life span of a certain disabled persons after head injury is neither simple...
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Traumatic Acute Spinal Subarachnoid Hematoma: A Case Report

Kim TW, Joo SP

This case report describes a 66-year-old male who presented with progressive paraparesis after falling down. Magnetic resonance (MR) imaging showed an acute spinal hematoma at the T11-T12 level with spinal...
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Clinical Experiences of Traumatic Intracranial Aneurysms

Choi JW, Joo SP

Traumatic aneurysms of intracranial arteries are very infrequent. Seven cases of traumatic intracranial aneurysm are presented. Due to increasing use of brain CT to substitute angiogram during the initial surveys...
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Direct Oculomotor Nerve Palsy in Association with A Mild Head Injury: A Case Report

Hong JM, Kang SD, Kim JM

We experienced a rare case of delayed oculomotor nerve palsy due to a mild head injury. A 56-year-old man was admitted via local clinic due to ophthalmoplegia(unilaterally fixed dilated pupil,...
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Hemorrhagic Complication after Spine Surgery

Kwon YS, Yi S, Yoon DH, Shin HC, Kim KN, Kim SH

OBJECTIVES: Spinal epidural hematoma after spinal surgery is a dreadful complication that can cause major neurologic deficit. We have evaluated factors leading to increased risk for epidural hematoma and its...
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Brain Abscess Following a Transorbital Penetrating Injury by a Wooden Stick: A Case Report

Lee HS, Kim JH, Kim JH, Kwon TH, Chung HS, Park YK

Transorbital penetrating injury is relatively uncommon. Injury may be initially asymptomatic, but serious events can occur several days, months, or even years after the injury. A 25-month-old male presented with...
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Diagnostic Value of MRI at Basal Skull Fracture with Cranial Nerve Palsy: Two Case Report

Lee DC, Hyun DK, Park CO, Park HC, Park HS, Ha Y

Fractures of the skull base are said to occur in 4% with head trauma and account for 21% of all skull fractures. Basal skull fractures and the diagnostic value of...
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Posterolateral Approach of Percutaneous Vertebroplasty in Thoracolumbar Fractures

Kim KH, Kim KN, Yoon DH, Shin HC, Yi S, Kim SH

OBJECTIVE: Transpedicular percutaneous vertebroplasty has been widely used for the treatment of osteoporotic vertebral compression fractures. The authors introduce a novel method of approach by the posterolateral route for percutaneous...
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Posterior Fossa Extradural Hematoma in Children

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

OBJECTIVE: The aim of this study is to investigate the interactions between prognostic factors and functional outcome of patients managed posterior fossa epidural hematomas (PFEDH) in childhood. MATERIAL AND METHODS: Between...
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Prognostic Value of the C-reactive Protein Levels in the Head Injury

Lee DG, Lee KS, Shim JJ, Yoon SM, Bae HG

OBJECTIVE: C-reactive protein (CRP) is an acute-phase protein, whose the blood levels increase rapidly in response to infection, trauma, and other inflammatory conditions. The relation of CRP levels to TBI...
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Progressive Intracranial Hemorrhage after Acute Head Trauma

Lee WC, Lee YJ, Min KS, Lee MS, Kim YG, Kim DH

OBJECTIVE: Progressive intracranial hemorrhage after acute head trauma is often observed on serial computerized tomography (CT) scans but its significance is uncertain. In this study, patients with acute head trauma...
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Clinical Evaluation of Bilateral Chronic Subdural Hematoma: Characteristic Findings and Significance of Postoperative Drainage Amount

Kim JH, Kwon TH, Han S, Kim JH, Park YK, Chung HS

OBJECTIVE: Even though bilateral chronic subdural hematoma (CSDH) constitutes about 15% to 20% of all CSDH, relatively scanty data have been demonstrated. We retrospectively reviewed clinical manifestations and postoperative drainage...
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A Study on the Optimal Timing of the Disability Evaluation after Head Injury

Lee DG, Lee KS

OBJECTIVE: Impairment is an un-recoverable loss of body function or structure despite of adequate treatments for the injuries or diseases. Disability evaluation is an assessment of the degree and nature...
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Clinical Features of Repeated Head Injury

Shin SH, Whang K, Kim HJ, Han YP, Hu C, Pyen JS

OBJECTIVE: The aim of this study is to evaluate the clinical outcome of the repeated head injury. METHODS: The medical records of 12 patients with repeated head injury from January, 1998...
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Foot Drop Caused by A Focal Brain Injury: Two Case Report

Kang MS, Youm JY, Choi SW, Kim SH, Koh HS, Song SH, Kim Y

Foot drop is caused by peripheral and spinal motor neuron lesions and muscular dystrophy. Foot drop secondary to brain lesions is rarely seen in practice. We present two cases with...
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Early Preventive Decompressive Craniectomy in Patients with Severe Traumatic Brain Injury

Shin SH, Whang K, Paik SJ, Kim HJ, Hong SK, Hu C

OBJECTIVE: The aim of this study is to evaluate the outcomes of severe head injury patient who underwent decompressive craniectomy by correlating clinical characteristics and radiologic findings. METHODS: The medical records...
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Effect of Decompressive Craniectomy on Massive Brain Swelling Patients According to the Diseases

Lee KS, Yoo DS, Kang SG, Huh PW, Cho KS, Kim DS

OBJECTIVE: The management of massive brain swelling remains an unsolved problem in neurosurgical field. According to many recent reports, surgical decompression with dura expansion is effective in major cerebral infarction....
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Clinical Feature of Intracranial Lesion in Head Injury Patients with Skull Fracture

Lee YB, Park YS, Lee KC, Jung JH

OBJECTIVE: A development of intracranial lesions in patients with head trauma is one of the most important prognostic factor. The brain CT scanning plays a vital role in early diagnosis...
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