ABSTRACT
Hydrocephalus, which is one of the major complications following intracranial aneurysm operations, can prevent patients from improvement of consciousness, symptoms and signs that can be expected after operation. Whenever there is no evidence of appreciable improvement after intracranial aneurysm operation, follow-up brain CT scannings will reveal the development of hydrocephalus. And also radioisotope cisternography and clinical findings could be clarified as Glasgow coma scale(GCS) and Hunt & Hess classification, which will help clinicians making a decision on shunt operation. Among 183 patients of subarachnoiod hemorrhage admitted, 92 patients were operated on due to intracranial aneurysms. Nine patients(9.8%) of them were underwent shunt operations because of hydrocephalus following intracranial aneurysm operations. Eight patients showed improvement of clinical findings and 9 patients have been improved according to GCS score.
Subject(s)
Humans , Aneurysm , Brain , Classification , Coma , Consciousness , Follow-Up Studies , Hemorrhage , Hydrocephalus , Intracranial Aneurysm , Tomography, X-Ray ComputedABSTRACT
Sparganosis of the brain is a rare parasitic zoonosis caused by a migrating plerocercoid tapeworm lava, genus Spirometra. Recently we have experienced a case of sparganosis involving both cerebrum and cerebellum. A 62-year-old woman had experienced of generalized seizure and headache one week prior to admission. Stereotactic surgery was performed using the Cosman-Roberts-Wells stereotactic system. A live worm was removed from the cerebrum, and a part of the parasitic granuation and inflammatory tissue was removed from the cerebellum. A brief review of this condition is given and the possible source of infestation is discussed.
Subject(s)
Female , Humans , Middle Aged , Brain , Cerebellum , Cerebrum , Cestoda , Headache , Seizures , Sparganosis , SpirometraABSTRACT
Botulinum toxin A injection has been recently used in the treatment of spasmodic disorders and the focal dystonia for relieving its abnormal conditions. This treatment, however, is not popular in Korean because of difficulty in getting the drug. Se have injected Botulinum toxin A in 7 various patients;spasmodic torticollis:2, hemifacial spasm:3, blepharospasm:1, ankle spasticity:1. 3 patients improved greatly and 2 patients showed moderate, but 1 patient showed only mild improvement. No significant side effects showed except the transient ptosis in the blepharospasm and the mild focal muscle weakness in the hemifacial spasm.