728x90 신경외과/Brain Anatomy (Basic, vessel)13 Functional part Microvascular decompression (MVD) Deep brain stimulation 2021. 6. 21. BRAIN STEM: CRANIAL NERVES Name the 12 cranial nerves I. Olfactory IV. Trochlear VII. Facial X. Vagus II. Optic V. Trigeminal VIII. Auditory XI. Spinal accessory III. Oculomotor VI. Abducens IX. Glossopharyngeal XII. Hypoglossal What are general somatic afferent nerves? Which cranial nerves carry them? General somatic afferent fibers carry exteroceptive (pain, temperature, touch) and proprioceptive impulses. Cranial nerve.. 2021. 1. 14. Lateral medullary syndrome ( Wallenberg syndrome) vestibular Nu - vomiting, vertigo, nystagmus Inf. cerebellar peduncle - ataxia, dysmetria central tegmental tract - palatal myoclonus lateral spinothalamic tract - contralateral deficit in pain/temp sense from BODY spinal trigeminal Nu - ipsilateral deficit in pain temp sense from FACE nucleus ambiguus - ipsilateral laryngeal, pharyngeal, palatal hemiparesis (dysphagia, hoarseness, gag reflex de.. 2021. 1. 13. Revascularization technique (Bypass surgery) (1) 수술 전/후에 문합부 폐색을 막도록 aspirin을 복용한다. (2) Hypothermia, Hypertension, Barbiturate(thiopental sodium) : metabolic suppression, EEG 및 EPmonitoring을 시행하며 systemic heparization은 시행하지 않는다. (3) MCA, PICA, AICA를 occlusion 해야 하는 경우 bypass를 고려하지만, PCA는 비교적 occlusiondp tolerable하다. (* PCA는 collateral이 발달하여 허혈 손상이 잘 오지 않음) (4) Type 1) Type 1: Proximal parent a. - saphenous vein – distal parent a. 2) Type I.. 2021. 1. 12. Types of Aphasia Prosody Grammar Comprehension Repetition Naming Motor Non-fluent Global - - - - - - Broca`s - - + - - - Transcortical motor - - + + - - Transcortical mixed - - - + - - fluent aphagia Transcortical sensory + +/- - + - + Wernicke`s + +/- - - - + Anomic + + + + - + Conduction +/- + + - - + 1) 전반 실어증 2) 브로카 실어증 3) 연결피질운동 실어증 4) 혼합연결피질실어증 5) 연결피질감각 실어증 6) 베르니케 실어증 7) 명칭 실어증 8) 전도 실어증 그림 출처: www.aphas.. 2021. 1. 7. A-com aneurysm 관련.. thejns.org/view/journals/j-neurosurg/132/5/article-p1517.xml Anatomical triangles defining routes to anterior communicating artery aneurysms: the junctional and precommunicating triangles a OBJECTIVE Anterior communicating artery (ACoA) aneurysms are common intracranial aneurysms. Despite advances in endovascular therapy, microsur thejns.org The direction of A-com aneurysm neck Anterior(22.7%) :.. 2020. 12. 28. Antithrombotic Agents 1. anticoagulants Warfarin reversal Heparin 2. Antiplatelets # Unruptured aneurysm 의 endovascular treatment 시술 전 : aspirin 100mg 1T Qd + Clopidogrel 75mg 1T Qd x 5-7 days # Loading) aspirin 100mg 3T + clopidogrel 4T (둘 다 300mg) 3. Fibrinolytics a. Streptokinase, Anistreplase b. Urokinase c. t-PA (tissue Plasminogen Activator), Alteplase, Reteplase, Tenecteplase 2020. 11. 24. Occlusive cerebro-vascular disease 1) Carotid stenosis a. Workup - Carotid doppler /coronary angiography - CT angiography including carotid - brain MRI+A including carotid - brain SPECT (Diamox study, if indicated) b. Postoperative management 1. strict BP control!! : 수술 후 1주간, 특히 POD~2일째 까지의 혈압조절은 critical! A. SBP 2020. 11. 24. Intracerebral hemorrhage Spontaneous supratentorial ICH Pathophysiology 1. Cause 1) Hypertension 2) Amyloid angiopathy (m/c cause of lobar hemorrhage in elderly) Current Guidelines The AHA/ASA (2015) 1. cerebellar hemorrhage A. Neurological deterioration or brainstem compression and/or hydrocephalus: 가능한 빨리 surgical removal of the hemorrhage, Initial treatment of these patients with ventricular drainage rather than surg.. 2020. 11. 24. 이전 1 2 다음 728x90
