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Objective : Spinal cord hemangioblastomas are rare tumors. Despite their benign, slow-growing nature, they can cause severe neurological consequences.

The purpose of this study was to evaluate variable factors, including clinical features, tumor findings, the extent of resection, and its recurrence or progression, which determine postoperative functional outcomes.

Methods : This study included sixteen patients at our institute who underwent microsurgical resection for sporadic spinal intramedullary hemangioblastomas and spinal intramedullary hemangioblastomas associated with von Hippel-Lindau (VHL) disease, between June 2003 and March 2012.

Results : A total of 30 operations were performed. Total resection (TR) of the tumor was achieved in 10 patients, and subtotal resection (STR) was achieved in 6. Postoperatively, the initial presenting symptoms were improved in 18.7% of the patients and were unchanged in 56.3%, but 25%were worse. Stable postoperative neurological functions were found in 83% of patients with preoperative McCormick grade I, and TR was achieved in 75% of these patients. In the STR group, poorer neurological status was observed in one patient, despite multiple operations. There were no poorer outcomes in the four cases of VHL disease. Various factors were analyzed, but only a correlation between the pre- and postoperative neurological status was verified in the TR-group patients.

Conclusion : Preoperative focal neurological impairment and meticulous microsurgical manipulation may be predictors of favorable outcomes for solitary hemangioblastomas. In addition, the preservation of function is more important than the extent of resection in VHL disease.

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기사명 저자명 페이지 원문 목차
Aneurysmal subarachnoid hemorrhage in third and fourth decades of life Su-Yong Kim, Chul-Hee Lee, In Sung Park, Jae Ha Hwang, Soo Hyun Hwang, Jong Woo Han pp.167-171

Angiographic features and clinical outcomes of intra-arterial nimodipine injection in patients with subarachnoid hemorrhage-induced vasospasm Sang-Shin Kim, Dong-Hyuk Park, Dong-Jun Lim, Shin-Hyuk Kang, Tai-Hyoung Cho, Yong-Gu Chung pp.172-178

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Y-stenting endovascular treatment for ruptured intracranial aneurysms : a single-institution experience in Korea Woo Joo Lee, Chun-Sung Cho pp.187-192

Incidence and risk factors for leptomeningeal carcinomatosis in breast cancer patients with parenchymal brain metastases Jong-myung Jung, Sohee Kim, Jungnam Joo, Kyung Hwan Shin, Ho-Shin Gwak, Seung Hoon Lee pp.193-199

Interobserver and intraobserver reliability of sub-axial injury classification and severity scale between radiologist, resident and spine surgeon Woo Jin Lee, Seung Hwan Yoon, Yeo Ju Kim, Ji Yong Kim, Hyung Chun Park, Chon Oon Park pp.200-203

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참고문헌 (19건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Boström A, Hans FJ, Reinacher PC, Krings T, Bürgel U, Gilsbach JM, et al.: Intramedullary hemangioblastomas : timing of surgery, microsurgicaltechnique and follow-up in 23 patients. Eur Spine J 17 : 882-886, 2008 미소장
2 Surgical management of intramedullary hemangioblastoma of the spinal cord. 네이버 미소장
3 Characterization of hemangioblastomas of spinal nerves. 네이버 미소장
4 Spinal cord hemangioblastomas in von Hippel-Lindau disease. 네이버 미소장
5 Lee DK, Choe WJ, Chung CK, Kim HJ : Spinal cord hemangioblastoma :surgical strategy and clinical outcome. J Neurooncol 61 : 27-34, 2003 미소장
6 von Hippel-Lindau disease 네이버 미소장
7 Microsurgical resection of spinal cord hemangioblastomas. 네이버 미소장
8 Spinal cord hemangioblastomas. 네이버 미소장
9 Surgical management of spinal cord hemangioblastomas in patients with von Hippel-Lindau disease. 네이버 미소장
10 Atraumatic bloodless removal of intramedullary hemangioblastomas of the spinal cord. 네이버 미소장
11 OPERATIVE MANAGEMENT OF SPINAL HEMANGIOBLASTOMA 네이버 미소장
12 Intramedullary ependymoma of the spinal cord. 네이버 미소장
13 Functional outcome after resection of spinal cord hemangioblastomas associated with von Hippel-Lindau disease. 네이버 미소장
14 Na JH, Kim HS, Eoh W, Kim JH, Kim JS, Kim ES : Spinal cord hemangioblastoma: diagnosis and clinical outcome after surgical treatment. JKorean Neurosurg Soc 42 : 436-440, 2007 미소장
15 Advances in Spinal Hemangioblastoma Surgery 네이버 미소장
16 Surgical treatment of spinal hemangioblastomas. 네이버 미소장
17 Haemangioblastoma of the central nervous system in von Hippel–Lindau disease 네이버 미소장
18 Shin DA, Kim SH, Kim KN, Shin HC, Yoon DH : Surgical managementof spinal cord haemangioblastoma. Acta Neurochir (Wien) 150 : 215-220; discussion 220, 2008 미소장
19 Comparative Analysis of Spinal Hemangioblastomas in Sporadic Disease and Von Hippel-Lindau Syndrome 네이버 미소장

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