The authors report a case of leptomeningeal cyst in the right parietal region, which was developed after trauma, in 3 months old male baby.

The impression gathered from the literature on epidural hematoma at the vertex is that knowledge of this hematoma is still scanty. Thest hematomas are rarely described as specific pathological entities. For this reason we thought it worthwhile to review the cases reported in the available literature. Seven cases of vertex epidural hematomas enccuntered in patients admitted over a 3-year period at the Ewha Womans University Hospital are presented. Clinical and neuroadiological findings, treatment and results are reported.

The tumor of the corpus callosum is a rare tumor with a incidence of 0.6 to 4.9% among all intracranial tumors. We report a case of astrocytoma of corpus callosum in 39 year-old man with complaints of headache, recent memory disturbance and urinary incontinence. The tumor located in the corpus callosum is soft consistency with light-grey color and the microscopic finding reveals astrocytoma in grade II.

The authors report a case of metastatic carcinoma in the skull presenting with pulsating mass of the right parietal region which was metastasized from clear cell carcinoma of the kidney.

The authors describe a case of facial myokymia which was considered as an isolated event. SUMMARY A case of facial myokymia which was considered as an isolated event was reported and the clinical and EMG features described.

The authors describe a case of syndrome of progressive bulbar palsy in amyotorphic lateral sclerosis which was diagnosed by electromyography.

Citations

Citations to this article as recorded by  

• A Case Report on the Use of Korean Medicine Treatment for a Patient with Dysarthria Caused by Progressive Bulbar Palsy (PBP)
  Jae Hyun Ahn, Sung Yoon Kim, Jun Hyeong Park, Jeongjae Cho, Do Young Choi, Seung Hoon Lee, Jae Dong Lee
  The Acupuncture.2017; 34(1): 49.     CrossRef

The onset and persistence of headache following spinal puncture is a continual problem to physicians who perform this procedure. There is considerable evidence that headaches following spinal puncture result from low cerebrospinal fluid pressure caused by leakage through the puncture in the dural sac. The author has studied the value and consequences of prophylactic autologous epidural blood patch in postlumbar-puncture headaches. Fifty patients undergoing myelography received prophylactic autologous epidural blood patches to prevent postlumbar-puncture headache; the results indicate a significant reduction in the incidence and severity of this problem compared to a control group, without any significant side effects. Based on the results of this study, author believes that epidural blood patch is a safe and effective procedure of prophylaxis and treatment for postlumbar-puncture headache.

Teratoma are probably the result of a segregated blastomere which, being totipotent, results in a jumble of tissues. It has also been suggested that they may be displacements of the coccygeal body. However, regardless of their origin they are usually present at birth or shortly there-after and are excised via perineal route. The following case of a sacrococcygeal teratoma is reported because of the histogenesis involved and the excellent result following surgical removal.

The authors describe a case of the brain abscess in the left temporal lobe which was accurately diagnosed by computerized tomography brain scan and complete surgical excision of abscess capsule was accomplis with great success. SUMMARY The case presented by authors was otogenic in origin and diagnosed accurately by the computerized tomographic scan, and total excision of the abscess capsule was performed by two stage operation.

The author reports a case of surgery-proved hypertrophic interstitial neuritis of cauda equina. The pathogenesis of the unique myelographic findings is described and illustrated. SUMMARY A case of surgery-proved hypertrophic interstitial neuritis of cauda equina is reported. The unique myelographic findings are illustrated. To the author's knowledge, no other condition produces these abnormalities.

Ependymal tumors are usually classified with the glial neoplasms of the nervous system. Ependymomas are the most frequent intramedullary tumors of the spinal cord and filum terminale. The authors describe a case of ependymoma arising in the conus medullaris and filum terminale.

A case of a huge, densely calcified chromophobe adenoma is reported with references reviewed.

The purpose of this paper is to report the outcome in 100 patients operated on at the Ewha Womans University Hospital for severe head injuries as defined by the Glasgow Coma Scale. The diagnostic categories of all patients were epidural hematoma(30%), subdural hematoma(19%), intracerebral hematoma(4%), cerebral contusion(18%), subdural hygroma(7%), and epidural and subdural hematoma(22%). The overall outcome following severe head injuries was as follows: 68% made a good recovery or were moderately disabled, 10% were severely disabled or left vegetative, and 22% died. The outcome from severe head injuries seemed to become worse with advancing age or pupillary change. The value of the Coma Scale is evidenced from the fact that all of the patients who did poorly or died had 4 or less points and all of the patients who scored 5 points or better did well.

Zander, in 1940, was the first to perform a cranioplasty with methylmetacrylate, and around the same time Kleinschmidt, in experiments on rabbits, demonstrated its nonirritative character. Brain edema often forced us not to replace the skull bone flap. Under such circumstances, mostly 3 to 4 months later, we had undertaken delayed cranioplasty. Authors reviewed 62 cases of head injuries with skull defect repaired by cranioplasty using methylmetacrylate resin. The results were as follows; 1. The majority of head injuries caused in the vehicle accident. 2. The most common sites of the skull defect were in the temporal and frontal bone. 3. The interval between primary decompressive craniectomy and delayed cranioplasty was from 3 to 4 months in the majority of cases. 4. Defects may fill in spontaneously to leave no visible evidence of it's presence. 5. The syndrome of the trephined was not relieved by cranioplasty. 6. The course of the post-traumatic epilepsy was not altered by cranioplasty. 7. Headache may be refered to the site of a cranial plate. 8. Cosmetic results were excellent. 9. Postoperative complications were observed in 4 cases(6.5%)

The authors describe a case of traumatic ruptured aneurysm at the trifurcation of middle cerebral artery in which double aneurysms have been successfully obliterated by clipping and coating.

This report is made to investigate the clinical trend and actual conditions of vertebrobasilar aneurysm surgery in Korea. The author reports a series of 4 surgical cases of vertebrobasilar aneurysm not located at the basilar bifurcation, one on the basilar origin of the superior cerebellar artery, two on the vertebral origin of the posterior inferior cerebellar artery, and one on the posterior inferior cerebellar artery. Included in this series are all the cases of vertebrobasilar aneurysm operated upon at the university hospitals, Seoul, Korea.

Regardless of the clinical picture, an initial four-vessel angiographic study in all subarachnoid hemorrhages should be performed to visualize the posterior circulation and particularly both posterior inferior cerebellar arteries.

It is the author's conviction that the microvascular anatomy of the posterior part of the circle of Willis is important in vertebrobasilar aneurysm surgery.

The author realizes that vertebrobasilar aneurysm surgery is technically more demanding, since use of the operating microscope and familiarity with microsurgical techniques are essential in its execution.