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뇌동맥류 및 뇌동정맥기형에 관한 임상적 연구 : Clinical Study on the Intracranial Aneurysms and Arteriovenous
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 한대희 | - |
dc.contributor.author | 심보성 | - |
dc.date.accessioned | 2009-09-14T14:51:24Z | - |
dc.date.available | 2009-09-14T14:51:24Z | - |
dc.date.issued | 1972-06 | - |
dc.identifier.citation | Seoul J Med, Vol.13 No.2, pp. 143-163 | - |
dc.identifier.issn | 0582-6802 | - |
dc.identifier.uri | https://hdl.handle.net/10371/9267 | - |
dc.description.abstract | It is well known that approximately 35-50 per
cent of all patients with a spontaneous subarachnoid hemorrhage die in the first attack and about 40 per cent of the survivors expire due to recurrent attacks some time within the following five years. These hemorrhages occur principally from ruptured aneurysms located on the great vessels at the base of the brain, and some from ruptured arteriovenous malformations. The purpose of this report is to present the results of clinical observations and treatments in 62 patients with intracranial aneurysms and 25 patients with intracranial arteriovenous malformations, durng period from September, 1957 to August, 1971 at the Department of Neurosurgery, Seoul National University, Seoul, Korea. There were 119 cases of spontaneous subarachnoid hemorrhage among 312 patients of cerebrovascular diseases, of which 58 cases (48%) were due to ruptured intracranial aneurysms and 14 cases (12%) were due to arteriovenous malformations. Unruptu• red aneurysms were found in 4 patients (6.5% of all aneurysm cases) and unruptured arteriovenous malformations in 11 patients (44% of all A. V. M. cases). There were 36 males (58%) and 26 females (42%) among aneurysm cases, and 19 males (76%) and 6 females (24%) among arteriovenous malformation cases. The highest age incidence was found in fourth and fifth decades in aneurysriJ.ai groups, and in third and fourth decades in arteriovenous malformation group. The site of a single aneurysm was on the internal carotid artery in 46. 2 per cent; anterior cerebral artery complex in 25.4 per cent; middle cerebral artery in 22.4 per cent and vertebrobasilar system in 6. 0 per cent. Multiple aneurysms were found in 8 per cent and all were associated with the internal carotid artery aneurysms. All unruptured aneurysms were located on the internal carotid artery, three of them were in the intracavernous portion and one at the bifurcation of the posterior communicating artery. Nineteen cases (76%) of 25 arteriovenous malformations were angiomatous malformations, 4 cases (16%) were carotid•cavernous fistulas and 2 cases (8%) were combined intracranial-extracranial arte• riovenous malformations. The parietal area was the most prevalent site of supratentorial angiomatous malformations, and infratentorial arteriovenous malformations were only three cases (12%) . Main feeding arteries to these arteriovenous malformations were the middle cerebral artery in 40 per cent, anterior cerebral artery 24 per cent and internal carotid artery in 20 per cent, while the main draining veins were the sagittal sinus in 36 per cent, internal cerebral veins in 36 per cent and other cortical veins in 32 per cent. The size of aneurysms varied as follows: 3-5 mm in 43.5 per cent, 6-10 mm in 47.1 per cent, and over 10 mm in 9.4 per cent. Angiographically, generalized arterial spasm was found in 38. 7 per cent of 58 ruptured aneurysm cases, localized arterial spasm in 25. 8 per cent, spasm only in parent artery in 19.4 per cent. UsuallY cerebral angiography was performed when the patient's condition was good but when intracerebral hematoma or subdural hematoma was suspected in ruptured aneurysms, angiography was done immediately. In 78 per cent of aneurysm cases, angiography was performed within 3 weeks. Bilateral or triple angi ography was done in 43. 6 per cent of intracranial aneurysms and unilateral was done in 56.4 per cent | - |
dc.language.iso | ko | - |
dc.publisher | 서울대학교 의과대학 | - |
dc.title | 뇌동맥류 및 뇌동정맥기형에 관한 임상적 연구 | - |
dc.title.alternative | Clinical Study on the Intracranial Aneurysms and Arteriovenous | - |
dc.type | SNU Journal | - |
dc.contributor.AlternativeAuthor | Han, Dae Hee | - |
dc.contributor.AlternativeAuthor | Sim, Bo Sung | - |
dc.citation.journaltitle | 서울 의대 잡지 | - |
dc.citation.journaltitle | 서울 의대 학술지 | - |
dc.citation.journaltitle | Seoul Journal of Medicine | - |
dc.citation.endpage | 163 | - |
dc.citation.number | 2 | - |
dc.citation.pages | 143-163 | - |
dc.citation.startpage | 143 | - |
dc.citation.volume | 13 | - |
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