이창규 교수

To formulate treatment strategies for poor-grade patients after aneurysmal subarachnoid hemorrhage (SAH), medical records were analyzed for 166 patients who were in Hunt and Hess Grade IV or V among 588 consecutive cases with ruptured intracranial aneurysm admitted during the past 5 years. Causes of unfavorable outcome (poor or dead) in those 166 patients were evaluated to improve the management outcome. Overall management results of the 166 poor-grade patients were favorable (good or fair) in 7

A case of fatal rupture of a giant internal carotid aneurysm is reported, which occurred after an extracranial to intracranial (EC-IC) bypass surgery combined with occlusion of the proximal internal carotid artery (ICA) by detachable balloons. A 65-year-old woman presented with progressive visual deterioration due to an unruptured giant aneurysm at the supraclinoid segment of the ICA. Since the patient did not tolerate a balloon occlusion test of the ICA, saphenous vein graft was undertaken betw

To establish a management strategies for poor-grade patients after aneurysmal subarachnoid hemorrhage (SAH), medical records were analyzed for 166 patients who were in Hunt and Hess Grade IV or V among 588 consecutive cases with ruptured intracranial aneurysm admitted during the past 5 years. Causes of unfavorable outcome (poor or dead) in those 166 patients were evaluated to improve the management outcome.Overall management results of the 166 poor-grade patients were favorable (good or fair) in

Intracranial arachnoid cysts are benign, thin-walled cysts characteristically lying in the arachnoid, filled with clear fluid, located in general near primary fissure of the cerebral cortex and cerebellum, and associated with varying degrees of cerebral tissue loss by compression. Although cystoperitoneal shunt surgery is indicated in some cases with the midline or the posterior fossa cysts, the rest of the arachnoid cysts are best managed by the radical microsurgical technique of establishing a

<i>Background: </i>In spinal saddle anesthesia, maintaining the sitting position for 3–5 min, to allow for the descent of the injected drug after lumbar dural puncture, minimizes side effects such as blood pressure reduction. However, it also increases cerebrospinal fluid leakage due to the hydrostatic pressure. We investigated the effects of the maintenance of the sitting position after spinal anesthesia on the development of postdural puncture headache (PDPH). <i>Methods: </i>We reviewed all d