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Going-Further: Challenges Facing Us

Hwang SC

No abstract available.
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Iatrogenic Vascular Injury Occurring during Discectomy in a Spondylodiscitis Patient

Kim DH, Kim TW, Kim MK, Park KH

All iatrogenic vascular injury occurring during discectomy is a rare complication, but fatal if not immediately diagnosed. When a vascular injury is highly suspected during discectomy, immediate vascular evaluation is...
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A Fatal Adverse Effect of Barbiturate Coma Therapy: Dyskalemia

Kwon HM, Baek JW, Lee SP, Cho JI

The management guideline for traumatic brain injury (TBI) recommends high-dose barbiturate therapy to control increased intracranial pressure refractory to other therapeutic options. High-dose barbiturate therapy, however, may cause many severe...
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A Viewpoint on Treatment of Traumatic Bilateral Basal Ganglia Hemorrhage in a Child: Case Report

Baek KH, Lee CH, Kim SK, Park H, Kang DH, Hwang SH

Traumatic basal ganglia hemorrhage (TBGH) is a rare presentation of head injuries. Bilateral lesions are extremely rare. The pathophysiologic mechanism of bilateral TBGH seems to be the same as diffuse...
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A Case of Traumatic Unilateral Internuclear Ophthalmoplegia: Clinical Significance of Susceptibility-Weighted Imaging

Lee SH, Nam TK, Park YS, Kwon JT

A 43-year-old man was admitted for head trauma after falling backward. The patient complained of diplopia. Unilateral internuclear ophthalmoplegia (INO) was diagnosed during the neurologic examination. Initially, no specific finding...
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A Case of Intracranial Wooden Foreign Body: Mimicking Pneumocephalus

Kim DH, Park ES, Seong HY, Park JB, Kwon SC, Sim HB, Lyo IU

Intracranial wooden foreign bodies are rare. In addition, such objects are difficult to identify with conventional radiographic techniques, such as X-ray radiography or brain computed tomography. A 48-year-old man presented...
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Neural Axis Metastasis from Metachronous Pulmonary Basaloid Carcinoma Developed after Chemotherapy & Radiation Therapy of Uterine Cervical Carcinoma

Oh MJ, Jeong JH, Im SB, Kwak JJ, Nam KH

Multiple primary or secondary malignancies after anticancer therapy were recently reported to be increasing in frequency. The authors describe a case of metachronous metastatic pulmonary basaloid carcinoma to the central...
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Spinal Subarachnoid Hemorrhage Migrated from Traumatic Intracranial Subarachnoid Hemorrhage

Kim TJ, Koh EJ, Cho KT

Very rarely, spinal subarachnoid hemorrhage (SSAH) can occur without any direct spinal injury in patients with traumatic intracranial SAH. A-59-year-old male with traumatic intracranial subarachnoid hemorrhage (SAH) presented with pain...
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Therapeutic Hypothermia for Increased Intracranial Pressure after Decompressive Craniectomy: A Single Center Experience

Rim HT, Ahn JH, Kim JH, Oh JK, Song JH, Chang IB

OBJECTIVE: Therapeutic hypothermia (TH) and decompressive craniectomy are neuroprotective interventions following severe brain swelling. The precise benefits, risks, and clinical outcomes in brain swelling after TH are still being investigated....
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Shunt Overdrainage Caused by Displacement of the Pressure Control Cam after Pressure Adjustment

Kim SH, Lee YS, Lee MS, Suh SJ, Lee JH, Kang DG

Although the Codman-Hakim programmable valve is one of most popular shunt systems used in the clinical practice for the treatment of hydrocephalus, malfunctions related with this system have been also...
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Current Concept of Stem Cell Therapy for Spinal Cord Injury: A Review

Oh SK, Jeon SR

Spinal cord injury (SCI) is a catastrophic condition associated with significant neurological deficit, social, and financial burdens. Over the past decades, various treatments including medication, surgery, and rehabilitation therapy for...
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Spinal Extradural Arachnoid Cyst

Woo JB, Son DW, Kang KT, Lee JS, Song GS, Sung SK, Lee SW

A spinal extradural arachnoid cyst (SEAC) results from a rare small defect of the dura matter that leads to cerebrospinal fluid accumulation and communication defects between the cyst and the...
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Twist-Drill or Burr Hole Craniostomy for Draining Chronic Subdural Hematomas: How to Choose It for Chronic Subdural Hematoma Drainage

Lee SJ, Hwang SC, Im SB

OBJECTIVE: Although twist-drill craniostomy (TDC) has a number of procedural advantages and an equivalent outcome compared to burr hole craniostomy (BHC) for the treatment of chronic subdural hematomas (CSDHs), the...
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Preventable and Potentially Preventable Traumatic Death Rates in Neurosurgery Department: A Single Center Experience

Ha M, Kim BC, Choi S, Cho WH, Choi HJ

OBJECTIVE: Preventable and potentially preventable traumatic death rates is a method to evaluate the preventability of the traumatic deaths in emergency medical department. To evaluate the preventability of the traumatic...
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Intracerebral Hemorrhagic Infarction after Cranioplasty in a Patient with Sinking Skin Flap Syndrome

Han JH, Lee MS

The sinking skin flap syndrome (SSFS) is a rare complication after a large craniectomy. Hemorrhage infarction after a cranioplasty is a very rare complication with only 4 cases to date....
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Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury

Yu SH, Kim BC, Choi JY, Lee JI, Cho WH, Choi HJ

OBJECTIVE: Decompressive craniectomy (DC) is a widely used surgical procedure for control of severely increased intracranial pressure in various conditions. The goal of this study is to evaluate the effectiveness...
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Appropriate Cement Volume in Vertebroplasty: A Multivariate Analysis with Short-Term Follow-Up

Kwon HM, Lee SP, Baek JW, Kim SH

OBJECTIVE: The optimal threshold of the infusion volume of cement has been a continuous subject in percutaneous vertebroplasty (PVP). This study verifies a causal relationship between the cement volume and...
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Retro-Odontoid Pseudotumor without Atlantoaxial Subluxation or Rheumatic Arthritis

Yu SH, Choi HJ, Cho WH, Cha SH, Han IH

We present a case of retro-odontoid pseudotumor (ROP) without rheumatoid arthritis (RA) or atlantoaxial subluxation (AAS). A 76-year-old woman presented with paresthesia and weakness of both lower and upper extremities....
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Effectiveness of Cortical Atrophy Scale and Indirect Indices of Brain Atrophy to Predict Chronic Subdural Hematoma in Older Patients

Jeong EO, Choi SW, Lim JW, Kwon HJ, Kim SH, Koh HS, Youm JY, Song SH

OBJECTIVE: To determine whether baseline cerebral atrophy can predict the rate of future chronic subdural hematoma (CSDH) after head trauma and compare indirect markers of brain atrophy with volumetric analysis...
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The Neck and Posterior Fossa Combined Penetrating Injury: A Case Report

Han HJ, Jung JH, Hong CK, Kim YB

Here we report a case of penetrating neck injury to the posterior fossa that was shown, using high-resolution computed tomography (HRCT) and digital subtraction angiography (DSA), to involve no vascular...
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