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Vertebral Artery Dissecting Aneurysm Causing Central Tapia’s Syndrome: A Case Report

Shim YW, Park JH, Kim ST, Baek JW, Lee HG, Ko JH, Paeng SH, Pyo SY, Jin SC, Jeong HW, Jeong YG

The central type of Tapia’s syndrome is an extremely rare presentation, characterized by unilateral paralysis of the vagal and hypoglossal nerves, contralateral hemiparesis, or hemihypesthesia. This report describes a case...
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Desmoid Fibromatosis in the Multifidus Muscle Misdiagnosed as Intramuscular Schwannoma by Incisional Biopsy: A Case Report

Lee JH, Paeng SH, Cho HJ, Kim ST, Lee WH

Desmoid fibromatosis is a locally aggressive myofibroblastic neoplasm. In this study, we report a case of desmoid fibromatosis in the paraspinal muscle that was misdiagnosed as intramuscular schwannoma through incisional...
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Cerebral Venous Thrombosis Caused by Spontaneous Intracranial Hypotension: A Case Report

Lee KJ, Kim ST, Lee WH, Lee KS, Paeng SH, Pyo Sy

This case report presents a rare case of cerebral venous thrombosis (CVT) caused by spontaneous intracranial hypotension (SIH). The cause and prognosis of CVT can vary; CVT caused by SIH is...
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Microsurgical treatment for the recurrent cerebral aneurysm initially treated using coil embolization

Lee J, Kim ST, Shim YW, Back JW, Ko JH, Lee WH, Paeng SH, Pyo SY, Heo YJ, Jeong HW, Jeong YG

Objective: Microsurgical treatment could be a good alternative for the treatment of recurrent cerebral aneurysm after coil embolization. The purpose of this study was to present our experience of microsurgical...
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Swallowing Difficulty in Diffuse Idiopathic Skeletal Hyperostosis with Metabolic Syndrome

Lee JH, Paeng SH, Pyo SY, Kim ST, Lee WH

Diffuse idiopathic skeletal hyperostosis (DISH) is a disease of unknown etiology developing following ossification of the antero-lateral ligaments of the spine. Mostly, prevailing elderly adult males, it is an uncommon...
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Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy

Lee J, Paeng SH, Shim YW, Lee WH, Kim ST, Pyo SY

The incidence of quadriplegia following drainage of cerebrospinal fluid by lumbar puncture (LP) below a spinal occupying lesion is rare. We report a case of acute quadriplegia following LP for...
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What Causes Severe Myelopathy Resulting in Acute Quadriplegia after a Surgery for Atlantoaxial Subluxation due to Os Odontoideum? A Case Report

Paeng SH

A case of acute quadriplegia resulting from reduction of atlantoaxial subluxation due to os odontoideum is rare. Patient with os odontoideum are at a greater risk for atlantoaxial instability and...
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Cervicothoracic Junction Approach using Modified Anterior Approach: J-type Manubriotomy and Low Cervical Incision

Lee J, Paeng SH, Lee WH, Kim ST, Lee KS

Spinal surgery of the anterior aspect of the cervicothoracic junction is difficult and has technological challenges because of the kyphotic alignment of the upper thoracic spine. This approach requires knowledge...
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Trigeminal Neuralgia Resulting from Delayed Cervical Cord Compression after Acute Traumatic Fracture of Odontoid Process

Shim YW, Paeng SH, Lee KS, Kim ST, Lee WH

Trigeminal neuralgia is caused by compression of trigeminal nerve root and it leads to demyelination gradually. It was almost idiopathic and occurred unexpected. The upper cervical spinal cord contains the...
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Advantages and disadvantages of the ENVOY 6F distal access guiding catheter in endovascular coiling for anterior circulation aneurysms

Baek JW, Jin SC, Kim ST, Heo YJ, Han JY, Seo JH, Paeng SH, Kim JS, Jeong HW, Jeong YG

OBJECTIVE: Selecting an appropriate guiding catheter to provide both sufficient supportability for working devices and sufficient distal navigability is essential for ensuring the success of a procedure. This study aimed...
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Burr Hole Drainage versus Small Craniotomy of Chronic Subdural Hematomas

Shim YW, Lee WH, Lee KS, Kim ST, Paeng SH, Pyo SY

OBJECTIVE: Chronic subdural hematoma drainage is one of the most common procedures performed in neurosurgical practice. Not only burr hole drainage but also small craniotomy (diameter 3–5 cm) is frequently...
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Stimulation in Supplementary Motor Area Versus Motor Cortex for Freezing of Gait in Parkinson's Disease

Kim SJ, Paeng SH, Kang SY

BACKGROUND AND PURPOSE: Freezing of gait (FOG) is a frustrating problem in Parkinson's disease (PD) for which there is no effective treatment. Our aim was to find brain stimulation areas...
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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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Superficial Temporal Artery-Sparing Mini-Pterional Approach for Cerebral Aneurysm Surgery

Ahn JY, Kim ST, Yi KC, Lee WH, Paeng SH, Jeong YG

OBJECTIVE: The purposes of this study were to introduce a superficial temporal artery (STA)-sparing mini-pterional approach for the treatment of cerebral aneurysms and review the surgical results of this approach. METHODS:...
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The Effectiveness of Infrared Thermography in Patients with Whiplash Injury

Lee YS, Paeng SH, Farhadi HF, Lee WH, Kim ST, Lee KS

OBJECTIVE: This study aims to visualize the subjective symptoms before and after the treatment of whiplash injury using infrared (IR) thermography. METHODS: IR thermography was performed for 42 patients who were...
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Usefulness of Intraoperative Monitoring during Microsurgical Decompression of Cervicomedullary Compression Caused by an Anomalous Vertebral Artery

Kim ST, Paeng SH, Jeong DM, Lee KS

We report a case of cervicomedullary compression by an anomalous vertebral artery treated using microsurgical decompression with intraoperative monitoring. A 68-year-old woman presented with posterior neck pain and gait disturbance....
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The Effectiveness of Early Tracheostomy (within at least 10 Days) in Cervical Spinal Cord Injury Patients

Choi HJ, Paeng SH, Kim ST, Lee KS, Kim MS, Jung YT

OBJECTIVE: This study aimed to determine the optimal time for tracheostomy by evaluating the benefits and safety of early versus late tracheostomy in spinal cord injury (SCI) patients. METHODS: We retrospectively...
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An Efficient Microvascular Anastomosis Training Model Based on Chicken Wings and Simple Instruments

Kim BJ, Kim ST, Jeong YG, Lee WH, Lee KS, Paeng SH

OBJECTIVE: The aim of this study is to introduce a microvascular training model based on use of materials that can be easily obtained from the daily surroundings. METHODS: Simple microinstruments and...
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A Self-expanding Nitinol Stent (Enterprise) for the Treatment of Wide-necked Intracranial Aneurysms: Angiographic and Clinical Results in 40 Aneurysms

Kim ST, Jeong HW, Jeong YG, Heo YJ, Seo JH, Paeng SH

OBJECTIVE: Self-expanding stents are increasingly used for the treatment of complex intracranial aneurysms. The purpose of this study was to evaluate the usefulness and safety of a self-expanding nitinol stent...
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Recurrent Spinal Meningioma: A Case Report

Choi HJ, Paeng SH, Kim ST, Jung YT

Meningiomas are the second most common intradural spinal tumors accounting for 25% of all spinal tumors. Being a slow growing and invariably benign tumor, it responds favorably to surgical excision....
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