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Korean Journal of Neurotrauma

Mu-Seung Park, Suk Hyung Kang, Yong Jun Cho, Jin Seo Yang
Pediatric seat-belt fracture is a rare condition, and its management has not been well defined. The authors report a case of pediatric Chance fracture that was managed conservatively and that demonstrated rapid bone healing. A 7-year-old boy presented with back pain after a motor vehicle accident. Plain lumbar spine radiography, three-dimensional computed tomography (CT), and magnetic resonance imaging revealed a seat-belt fracture type C (classified by Rumball and Jarvis), and the patient's condition was managed conservatively...
October 2018: Korean Journal of Neurotrauma
Yoon Hee Choo, Sang Woo Kim, Ikchan Jeon
A 43-year-old man was transferred to our hospital with recurring myelopathic symptoms after previous anterior and posterior surgical decompressions for mixed-type cervical ossification of the posterior longitudinal ligament (OPLL). Conventional magnetic resonance imaging (MRI) showed a preserved cervical curve and the achievement of successful decompression after the previous surgeries. The patient's symptoms were aggravated when he was in the extended neck posture. Dynamic MRI performed with the patient in an extended neck position revealed cord compression by OPLL from C3 to C4 with newly developed retrolisthesis of the C4-5 segment...
October 2018: Korean Journal of Neurotrauma
Do Kyeun Jeong, Sung-Kyun Hwang
We describe the case of a patient who had infarction of the posterior inferior cerebellar artery (PICA) after a chiropractic cervical manipulation. A 39-year-old man visited the emergency room with signs of cerebellar dysfunction, presenting with a 6-hour history of vertigo and imbalance. Two weeks ago, he was treated by a chiropractor for intermittent neck pain. At the time of admission, brain computed tomography, magnetic resonance imaging, and angiography revealed an acute infarction in the left PICA territory and occlusion of the extracranial vertebral artery (VA; V1/2 junction) as a result of the dissection of the VA...
October 2018: Korean Journal of Neurotrauma
Ja Myoung Lee, In Sung Park, Chul-Hee Lee, Kwang-Ho Lee, Dong Hyun Chun, Ji-Yoon Kim, Young Seok Lee
Deep neck infections (DNIs) are mainly caused by dental caries, tonsillitis, and pharyngitis; however, DNIs can also occur after head and neck trauma. A 79-year-old male patient underwent a craniectomy due to an acute subdural hematoma. The patient was unconscious and continued to have a fever, but no clear cause was found. On postoperative day 9, he suddenly showed redness and swelling on the anterior neck. Enhanced computed tomography of the pharynx revealed tracheal necrosis and an abscess in the surrounding area...
October 2018: Korean Journal of Neurotrauma
Joon Hyuk Kim, Seung Han Yu, Byung Chul Kim, Jung Hwan Lee, Jae Il Lee, Hyuk Jin Choi
Posterior fossa epidural hematoma (EDH) is uncommon, but the related clinical deterioration can occur suddenly. Accompanying venous sinus injury and lacerations are associated with 40% to 80% mortality. The authors present one clinical case of a patient with posterior fossa EDH from transverse sinus bleeding. A 57-year-old male was injured after falling while working. He was taken to the hospital, where computed tomography scans of his brain revealed a right posterior temporal and cerebellar EDH with a right temporo-occipital fracture...
October 2018: Korean Journal of Neurotrauma
Kun Hee Han, Yu Deok Won, Min Kyun Na, Myung-Hoon Han, Je Il Ryu, Jae Min Kim, Choong Hyun Kim, Jin Hwan Cheong
Cerebral venous sinus thrombosis (CVST) is a rare disease. Early diagnosis and treatment are important, as CVST is potentially fatal. Pregnancy and puerperium are known risk factors for CVST. Here, we report the case of a patient who developed superior sagittal sinus thrombosis after a normal vaginal delivery. A 20-year-old woman presented with a headache and seizures two days after a normal vaginal delivery. Initially, brain computed tomography (CT) showed a subarachnoid hemorrhage in the right parietal lobe and sylvian fissure, together with mild cerebral edema...
October 2018: Korean Journal of Neurotrauma
Seong-Woo Cho, Seung-Won Choi, Jeongwook Lim, Hyon-Jo Kwon, Seon-Hwan Kim, Hyeon-Song Koh, Jin-Young Youm, Shi-Hun Song
We describe the case of a patient with an acute subdural hematoma (SDH) that was removed using urokinase irrigation after burr hole trephination in a limited situation where craniotomy was not possible. A 90-year-old woman was admitted to our hospital with a stuporous mental status. Computed tomography (CT) scans revealed a chronic SDH, and a burr hole procedure was performed. The patient's postoperative progression was good until the third day after surgery when we found that the acute SDH had increased on CT scans...
October 2018: Korean Journal of Neurotrauma
Hyunnyung Lee, Sun-Chul Hwang, A Leum Lee, Chan-Gyu Kim, Soo Bin Im
The rapid spontaneous resolution of an acute epidural hematoma (EDH) has rarely been reported. A possible mechanism of spontaneous resolution is egress of the hematoma into the subgaleal space through a skull fracture. We report a case of rapid redistribution of an acute EDH in a 37-year-old man who had a malignant peripheral nerve sheath tumor of the skull and who slipped and fell when going to the bathroom. A huge EDH without a skull fracture developed in the left parieto-occipital area. The acute EDH was completely alleviated and a newly developed intracerebral hematoma was found on a brain computed tomography scan that was acquired the day after the trauma...
October 2018: Korean Journal of Neurotrauma
Hong-Gyu Baek, Seong-Hyun Park
We report the case of a patient with organized chronic subdural hematoma (OCSH) that was treated with craniotomy. A 72-year-old man was admitted with a complaint of a drowsy mental status after a generalized tonic-clonic seizure. A brain computed tomography scan acquired at a local hospital revealed a large chronic subdural hematoma (CSDH) in the left frontoparietal lobe. The patient had not experienced head trauma and had been taking clopidogrel due to angina. A neurosurgeon at the local hospital performed single burr hole trephination in the left frontal bone and drained some of the hematoma...
October 2018: Korean Journal of Neurotrauma
Young San Ko, Hee-Jin Yang, Young-Je Son, Sung Bae Park, Sang Hyung Lee, Yeong Seob Chung
Cranial nerve palsies are relatively common after trauma, but trochlear nerve palsy is relatively uncommon. Although traumatic trochlear nerve palsy is easy to diagnose clinically because of extraocular movement disturbances, radiologic evaluations of this condition are difficult to perform because of the nerve's small size. Here, we report the case of a patient with delayed traumatic trochlear nerve palsy associated with a traumatic subarachnoid hemorrhage (SAH) and the related radiological findings, as obtained with high-resolution three-dimensional (3D) magnetic resonance imaging (MRI)...
October 2018: Korean Journal of Neurotrauma
Moon-Soo Han, Gwang-Jun Lee, Ju-Hwi Kim, Seul-Kee Lee, Bong Ju Moon, Jung-Kil Lee
Objective: We evaluated the usefulness of a polyetheretherketone (PEEK) cage filled with demineralized bone matrix (DBM) and plate fixation in anterior interbody fusions for subaxial cervical spine injuries. Methods: A retrospective review of 98 patients (58 women, 40 men; mean age, 49.7 years; range, 17-78 years) who underwent single-level anterior cervical discectomy and fusion (ACDF) using a PEEK cage filled with DBM and plate fixation for subaxial cervical spine injuries from March 2005 to June 2018 was conducted...
October 2018: Korean Journal of Neurotrauma
Jung Hwan Lee, Chung Kee Chough
Objective: The purpose of this study was to analyze the risk factors for hinge fracture (HF) and non-union during cervical open-door laminoplasty (CODL). Methods: We included 25 patients who underwent CODL with available serial computed tomography scans acquired at 2 days and 1 year postoperatively. Patients' medical records and radiographic data were reviewed. Risk factors related to the surgical procedures were evaluated including the lamina angle, spinous angle, difference in the lamina angle, outer cortex location (OCL), and inner cortex location...
October 2018: Korean Journal of Neurotrauma
Se Youn Jang, Choong Hyun Kim, Jin Hwan Cheong, Jae Min Kim
Objective: Placement of a ventriculoperitoneal (VP) shunt is a common neurosurgical procedure for cerebrospinal fluid diversion. A rare complication is delayed intracranial hemorrhage (ICH) secondary to VP shunting, and only a few patients with this complication have been reported. We investigate the incidence and risk factors of delayed ICH development following VP shunt placement. Methods: Over an 11-year period, 167 patients received a VP shunt for hydrocephalus, and of these, 138 patients were eligible for this study...
October 2018: Korean Journal of Neurotrauma
Jeong Kyun Joo, Jong-Il Choi, Chang Hyun Kim, Ho Kook Lee, Jae Gon Moon, Tack Geun Cho
Objective: Bone flap resorption (BFR) is a complication of cranioplasty (CP) that increases the risk of brain damage and can cause cosmetic defects. In this study, the risk factors for BFR were examined to improve the prognosis of patients after CP for traumatic brain injury (TBI). Methods: This study was conducted in 80 patients with TBI who underwent decompressive craniectomy and CP with an autologous bone graft between August 2006 and August 2017. BFR was defined as a >0...
October 2018: Korean Journal of Neurotrauma
Hyuk Ki Shim, Seung Han Yu, Byung Chul Kim, Jung Hwan Lee, Hyuk Jin Choi
Objective: This retrospective study was conducted to investigate the relationship between the superior sagittal sinus (SSS) to bone flap distance and clinical outcome in patients with traumatic brain injury (TBI) who underwent decompressive craniectomy (DC). Methods: A retrospective review of medical records identified 255 adult patients who underwent DC with hematoma removal to treat TBI at our hospital from 2016 through 2017; of these, 68 patients met the inclusion criteria and underwent unilateral DC...
October 2018: Korean Journal of Neurotrauma
Byeong Oh Kim, Jong Yeon Kim, Kum Whang, Sung Min Cho, Ji-Woong Oh, Youn Moo Koo, Chul Hu, Jin Soo Pyen, Jong Wook Choi
Objective: Subdural effusion, also known as subdural hygroma (SDG), is a secondary complication that can occur after decompressive craniectomy (DC). However, the pathogenesis of SDG is not fully understood. It is unclear whether SDG occurrence is related to preoperative patient status or surgical technique. The purpose of this study is to identify risk factors for SDG after DC. Methods: Fifty-nine patients who underwent DC from January 2016 to December 2016 at the same institution were analyzed...
October 2018: Korean Journal of Neurotrauma
Jae Eon Yoon, Cheol Young Lee, Eui Gyu Sin, Jihye Song, Hyun Woo Kim
Objective: Post-traumatic hydrocephalus (PTH) is a frequent and serious complication following brain injury. The incidence of PTH varies greatly among studies. The purpose of this study was to investigate the incidence and treatment of PTH in patients with head trauma. Methods: We examined 956 patients with head trauma who visited our center from January 2012 to December 2015. The hydrocephalus diagnosis was based on radiologic findings and clinical features, and patients were classified into the mild (Group 1, Glasgow Coma Scale score [GCS] 13-15), moderate (Group 2, GCS 9-12), or severe (Group 3, GCS 3-8) brain injury group according to their GCS at admission...
October 2018: Korean Journal of Neurotrauma
Kyoung Mo Kim, Sung Min Cho, Soo Han Yoon, Yong Cheol Lim, Moon Sung Park, Mi Ran Kim
Objective: The objective of this study was to reinterpret the neurodevelopmental prognostic factors that are associated with birth head injury by performing a long-term follow-up. Methods: Seventy-three neonates with head injuries were retrospectively analyzed after a duration of 10.0±7.3 years to determine the correlations between perinatal factors, including gender, head circumference, gestational age, body weight, and mode of delivery, and head injury factors from radiologic imaging with social, fine motor, language, and motor developmental quotients...
October 2018: Korean Journal of Neurotrauma
Jong-Ho Ha, Jong-Hyun Park, Je Hoon Jeong, Soo Bin Im, Sun-Chul Hwang
Objective: Rapid expansion of subacute subdural hematomas (saSDHs) is an uncommon complication in the course of acute subdural hematomas (SDHs). The current study evaluated relevant factors and treatment methods for saSDHs with neurologic deterioration and mass effect. Methods: A saSDHs was chronologically defined as an SDH occurring 4 to 21 days after head trauma. All cases of surgically treated SDHs were retrieved from the head trauma bank at our institution. Twenty-three patients with expanding saSDHs who met the following criteria were enrolled in the study: defined age of the hematoma, clinical deterioration, and radiological expansion of the hematoma...
October 2018: Korean Journal of Neurotrauma
Hyun Seok Lee, Sang Woo Song, Young Il Chun, Woo Jin Choe, Joon Cho, Chang Taek Moon, Young-Cho Koh
Objective: Burr hole craniostomy and closed-system drainage (BCD) is a common surgical procedure in the field of neurosurgery. However, complications following BCD have seldom been reported. The purpose of this study was to report our experiences regarding complications following BCD for subdural lesions. Methods: A retrospective study of all consecutive patients who underwent BCD for presumed subdural lesions at one institute since the opening of the hospital was performed...
October 2018: Korean Journal of Neurotrauma
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