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Thoracolumbar Paraspinal Myonecrosis after Aortic Dissection

Kim SM, Lee KC, Paeng SH, Pyo SY, Jung YT

Thoracolumbar paraspinal myonecrosis can be developed with various etiologies. It can induce compartment syndrome of spinal muscles and cause elevated pressure on back muscles, resulting in severe back pain. Thoracolumbar...
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A Rare Complication of Lumbar Spinal Surgery: Pneumocephalus

Özdemir U

A 25-year-old male patient with severe thigh and right side pain was presented. In the lumbar magnetic resonance images, there was a contrasting spinal cord tumor image with 1 cm...
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Complete Reversal of Diffusion Restriction after Treatment of Traumatic Carotid-Cavernous Fistula

Shim JH, Han I

A 15-year-old man presented with stupor following a motorcycle traffic accident. The patient was diagnosed with a traumatic left carotid cavernous fistula (CCF) with pseudoaneurysm of the left internal carotid...
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Posterior Reversible Encephalopathy Syndrome after Head Trauma Surgery in Pediatric Patient without Any Underlying Disease

Yoon JE, Lee CY, Kim HW

Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by signs of posterior cerebral edema upon radiographic examination. A 16-year-old girl was involved in motorcycle accident and depressed frontal...
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Traumatic Intracerebral and Subarachnoid Hemorrhage Due to a Ruptured Pseudoaneurysm of Middle Meningeal Artery Accompanied by a Medial Sphenoid Wing Dural Arteriovenous Fistula

Park JW, Lee JY

Traumatic pseudoaneurysms of middle meningeal artery (MMA) and medial sphenoid wing dural arteriovenous fistula (dAVF) are rare. These lesions usually result from traumatic brain injury, and associated with skull fracture....
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Proper Management of Posttraumatic Tension Pneumocephalus

Kwon J, Rha HK, Park HK, Chough CK, Joo WI, Cho SH, Gu W, Moon W, Han J

Pneumocephalus is commonly seen after craniofacial injury. The pathogenesis of pneumocephalus has been debated as to whether it was caused by ball valve effect or combined episodic increased pressure within...
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Chronic Brain-Dead Patients Who Exhibit Lazarus Sign

Moon JW, Hyun DK

Lazarus sign, a complex reflex movement of the upper limbs after brain death, is a rare occurrence. We report two patients who showed a Lazarus sign following a diagnosis of...
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Postoperative Subarachnoid Hemorrhage and Multipunctate Intracerebral Hemorrhages Following Evacuation of Bilateral Chronic Subdural Hematomas

Seung WB, Jeong JH

Chronic subdural hematoma (CSDH) can be easily treated by burr hole surgery. However, several complications including intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), and acute subdural hematoma are rare after evacuation...
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Remote Hemorrhage after Burr Hole Drainage of Chronic Subdural Hematoma

Kim CH, Song GS, Kim YH, Kim YS, Sung SK, Son DW, Lee SW

Chronic subdural hematoma (CSDH) and symptomatic subdural hygroma are common diseases that require neurosurgical management. Burr hole trephination is the most popular surgical treatment for CSDH and subdural hygroma because...
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Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report

Lee HR, You NK, Seo SJ, Choi MS

It is not a common case for neurosurgery department and the other departments to perform joint operation at the same time. Patients with severe head injury are a condition in...
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Intraoperative Transcranial Sonography for Detection of Contralateral Hematoma Volume Change in Patients with Traumatic Brain Injury

Kim PS, Yu SH, Lee JH, Choi HJ, Kim BC

The authors present two clinical cases, in which intraoperative transcranial sonography (TCS) was used to detect a change in contralateral hematoma volume. A 51-year-old female and a 5-year-old male underwent...
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The Efficacy of Fentanyl Transdermal Patch as the First-Line Medicine for the Conservative Treatment of Osteoporotic Compression Fracture

Choi JH, Kang HD, Park JH, Gu BS, Jung SK, Oh SH

OBJECTIVE: There are no strong guidelines on how long or how we should undertake conservative treatment during the acute period of an osteoporotic vertebral compression fracture (VCF). METHODS: We treated 202...
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Comparison of Surgical Results between Soft Ruptured Disc and Foraminal Stenosis Patients in Posterior Cervical Laminoforaminotomy

Yoo HJ, Park JH, Seong HY, Roh SW

OBJECTIVE: Posterior cervical laminoforaminotomy is used to relieve cervical nerve root compression caused by a laterally herniated soft cervical disc or spondylotic spur and its several advantages and disadvantages compared...
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Kümmell's Disease Treated with Percutaneous Vertebroplasty: Minimum 1 Year Follow-Up

Park JW, Park JH, Jeon HJ, Lee JY, Cho BM, Park SH

OBJECTIVE: To evaluate the radiographic and clinical outcomes of percutaneous vertebroplasty (PVP) in patients with Kümmell's disease. METHODS: A retrospective review was conducted for 19 vertebrae in 18 patients, between January...
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Factors Affecting Optimal Time of Cranioplasty: Brain Sunken Ratio

Lee JM, Whang K, Cho SM, Kim JY, Oh JW, Koo YM, Hu C, Pyen JS, Choi JW

OBJECTIVE: After a rigorous management of increased intracranial pressure by decompressive craniectomy (DC), cranioplasty (CP) is usually carried out for functional and cosmetic purposes. However, the optimal timing of CP...
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Clinical Features and Outcomes of Bilateral Decompression Surgery for Immediate Contralateral Hematoma after Craniectomy Following Acute Subdural Hematoma

Choi YH, Lim TK, Lee SG

OBJECTIVE: Immediate contralateral epidural hematoma (EDH) and traumatic intracerebral hematoma (T-ICH) after craniectomy for traumatic subdural hematoma (SDH) are rare but devastating post-operative complications. Their clinical features and outcomes are...
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Clinical Features of Interhemispheric Subdural Hematomas

Ahn JM, Lee KS, Shim JH, Oh JS, Shim JJ, Yoon SM

OBJECTIVE: Interhemispheric subdural hematoma (IHSDH) is uncommon, because of their unusual location. However, it is a distinct lesion with its unique characteristics. We investigated clinical features and outcomes of consecutive...
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The Combined Use of Cardiac Output and Intracranial Pressure Monitoring to Maintain Optimal Cerebral Perfusion Pressure and Minimize Complications for Severe Traumatic Brain Injury

So JS, Yun JH

OBJECTIVE: To show the effect of dual monitoring including cardiac output (CO) and intracranial pressure (ICP) monitoring for severe traumatic brain injury (TBI) patiens. We hypothesized that meticulous treatment using...
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Epidemiology and Risk Factors for Bicycle-Related Severe Head Injury: A Single Center Experience

Park JC, Chang IB, Ahn JH, Kim JH, Oh JK, Song JH

OBJECTIVE: Head injury is the main cause of death and severe disability in bicycle-related injuries. The purpose of this study was to compare the demographic characteristics and injury mechanisms of...
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Trauma Patterns of Drowning after Falling from Bridges over Han River

Lee JH, Chough CK, Lee JI

OBJECTIVE: Recently, the number of patients who fell or jumped from bridges over Han River has rapidly increased. However, the injury patterns and outcomes of these patients have been poorly...
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