- Intracranial Aneurysms: Treatment and Complications
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Vascular Malformations Diagnosis and Treatment
- Moyamoya disease diagnosis and treatment
- Neurosurgical Procedures and Complications
- Meningioma and schwannoma management
- Acute Ischemic Stroke Management
- Trigeminal Neuralgia and Treatments
- Acupuncture Treatment Research Studies
- Facial Nerve Paralysis Treatment and Research
- Intracerebral and Subarachnoid Hemorrhage Research
- Cerebrospinal fluid and hydrocephalus
- Spinal Fractures and Fixation Techniques
- Botulinum Toxin and Related Neurological Disorders
- Head and Neck Surgical Oncology
- Infectious Diseases and Tuberculosis
- Peripheral Artery Disease Management
- Stroke Rehabilitation and Recovery
- Aortic aneurysm repair treatments
- Advanced MRI Techniques and Applications
- Cancer, Stress, Anesthesia, and Immune Response
- Glioma Diagnosis and Treatment
- Cerebral Venous Sinus Thrombosis
- Pituitary Gland Disorders and Treatments
Kyung Hee University Hospital at Gangdong
2013-2023
Kyung Hee University
2005-2020
National Cancer Registration Service
2020
Weatherford College
2020
The Alfred Hospital
2020
Asan Medical Center
2019
Gangdong University
2015
Changi General Hospital
2015
Kyung Hee University East-West Neo Medical Center
2008-2011
Kyung Hee University Medical Center
2006
<b>BACKGROUND AND PURPOSE:</b> There have been inconsistencies on the prognosis and controversies as to proper management of acute basilar artery dissection. The aim this study was evaluate dissection its outcome after management. <b>MATERIALS METHODS:</b> A total 21 patients (mean age, 53 years; range, 24–78 years) with were identified between January 2001 October 2007. Clinical presentation, management, outcomes retrospectively evaluated. <b>RESULTS:</b> presented subarachnoid hemorrhage...
A ruptured dissecting aneurysm of the vertebrobasilar artery (VBA-DA) is a well-known cause acute subarachnoid hemorrhage (SAH) with high rate early rebleeding. Internal trapping parent artery, including dissected segment, one most reliable techniques to prevent However, for VBA-DA not suitable internal trapping, optimal treatment method has been well established. The authors describe their experience in treating VBA-DAs amenable stent-assisted coil embolization (SAC) followed by...
Objective In addition to obliterating the aneurysm using clipping or coiling, decompressive surgery for control of rising intracranial pressure (ICP) is thought be crucial prevention adverse outcomes in patients with poor grade aneurysmal subarachnoid hemorrhage (aSAH). We evaluated clinical characteristics poor-grade aSAH, and compared simultaneous those coil embolization followed by decompression. Materials Methods 591 70 H-H IV V underwent including craniectomy, lobectomy, hematoma...
Antiplatelet therapy, where regimens are tailored based on platelet function testing, has been introduced into neurointerventional surgery. This nationwide registry study evaluated the effect and safety of antiplatelet therapy in stent assisted coiling for unruptured aneurysms compared with conventional using a standard regimen.This enrolled 1686 patients 44 participating centers who received between January 1, 2019 December 31, 2019. The regimen (aspirin clopidogrel) was used all group...
The Alberta Stroke Program Early CT Score (ASPECTS) was devised to quantify the extent of early ischemic changes in middle cerebral artery territory on brain CT. We performed a systematic review and meta-analysis studies that presented clinical outcomes baseline ASPECTS stroke patients managed with endovascular methods validate use for risk prognostication.We searched MEDLINE, EMBASE, Cochran databases observational or interventional reported treated methods. Data were pooled perform...
Although radiosurgery has been found to be a safe and effective alternative treatment, seizure outcome of arteriovenous malformation (AVM) not documented in detail. We report the effect Gamma Knife (GKRS) on seizures associated with AVMs discuss various factors that influence prognosis.Between 1992 2004, 246 patients were treated GKRS for at Kyung-Hee medical center. Forty five (17.0%) have non-hemorrhagic presenting symptom was seizure. Two all excluded from this study due loss follow-up...
Optimal management of bilateral vertebral artery dissecting aneurysms (bi-VDAs) causing subarachnoid hemorrhage (SAH) remains unclear.To investigate the treatment methods and outcomes bi-VDA SAH.Seven patients were treated endovascularly for SAH. Treatment evaluated retrospectively.Two with 2 overlapping stents both ruptured unruptured VDAs, coiling VDA conservative VDA, 1 internal trapping (IT) stent-assisted IT a single stent VDA. None had rebleeding during follow-up (range, 15-48 months)....
Tension pneumocephalus may follow a cerebrospinal fluid (CSF) leak communicating with extensive extradural air.However, it rarely occurs after diagnostic lumbar puncture, and its treatment pathophysiology are uncertain.Tension can develop even puncture in special condition.This extremely rare condition underlying will be presented discussed.The authors report the case of 44-year-old man basal skull fracture accompanied by pneumothorax necessitating chest tube suction drainage, who underwent...
Early rebleeding after coil embolization of ruptured intracranial aneurysms is rare, however serious and fatal results have been reported. We studied the incidence angiographic clinical characteristics occurring in immediate postoperative period embolization.We analyzed patients who had aneurysmal subarachnoid hemorrhage underwent embolization. Patients with dissecting aneurysms, blood blister-like fusiform pseudoaneurysms were excluded. This study included 330 consecutive patients. The...
The presence of an intracerebral hematoma from a ruptured aneurysm is negative predictive factor and it associated with high morbidity mortality rates even though clot evacuation followed by the neck clipping performed. Endovascular coil embolization useful alternative procedure to reduce surgical rates. We report here on our experiences option endovascular placement craniotomy for evacuation.Among 312 patients who were admitted subarachnoid hemorrhage during recent three years, 119 cases...
The occurrence of a vascular perforation during an endovascular procedure is unexpected and feared complication which can be fatal. However, the incidence, risk or mechanism occur in management aneurysms remains unclear. purpose present study was to evaluate incidence coil embolization cerebral aneurysm, reveal characteristics clinical outcomes.We reviewed procedures performed for treatment 459 aneurysms. Incidence clinical, radiological technical data patients concerning were from medical...
Chronic subdural hematoma (SDH) is a well-known disease entity and traditionally managed with surgery. However, when associated spontaneous intracranial hypotension (SIH), the treatment strategy ought to be modified, as classical could lead unwanted consequences. A 59-year-old man presented case of SIH that manifested bilateral chronic SDH. He developed fatal extensive pneumocephalus SDH re-accumulation complication burr-hole drainage. Despite application an epidural blood patch, spinal...
Case Reports| January 20 2009 Bilateral Vertebral-Artery-Dissecting Aneurysm Causing Subarachnoid Hemorrhage Cured by Staged Endovascular Reconstruction after Occlusion Subject Area: Cardiovascular System , Neurology and Neuroscience Jun Seok Koh; Koh aDepartments of Neurosurgery Search for other works this author on: This Site PubMed Google Scholar Chang Woo Ryu; Ryu bRadiology, Stroke Neurological Disorders Centre, East-West Neo Medical Hospital, Kyung Hee University School Medicine,...
<b>Background and Purpose</b> Although endovascular therapy for intracranial aneurysms has recently started to replace surgical treatment literature regarding therapy's advantages disadvantages is being published, concerning the of distal posterior inferior cerebellar artery (PICA) specifically limited rupture are lacking. We describe clinical characteristics ruptured PICA aneurysms, their outcomes, strategies in which used. <b>Patients Methods</b> Eleven consecutive patients with aneurysm...
Objective Intracranial ruptured vertebral artery dissecting aneurysms (VADAns) are associated with high morbidity and mortality when left untreated due to the likelihood of rebleeding. The present study aimed establish an endovascular therapeutic strategy that focuses specifically on angioarchitecture VADAns. Methods Twenty-three patients VADAn received treatment (EVT) over 7 years. patient group included 14 women (60.9%) 9 men (39.1%) between ages 39 72 years (mean age 54.2 years). Clinical...
A 47-year-old man presented with a subarachnoid hemorrhage (SAH) and right cerebellar hematoma was referred for evaluation.Cerebral angiography revealed distal anterior inferior artery (AICA) aneurysm associated an arteriovenous malformation (AVM).Successful obliteration complete removal of the AVM were obtained using transcortical approach under guidance neuronavigation system.The association peripheral AICA by same is unique.The reported cases conventional surgery this disease complex are...
To examine the possibility of acupuncture as a new promising treatment to prevent delayed cerebral vasospasm, retrospective comparison was done patient outcomes in patients with subarachnoid hemorrhage (SAH) treated and without acupuncture.Twenty (20) SAH were after their ruptured aneurysms had been secured. Acupuncture treatments applied bilateral Zusanli (ST36) Neiguan (PC6) once day for 2 weeks, starting within 3 days aneurysm rupture. The incidence angiographic vasospasm ischemic...