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Journal of Korean Neurosurgical Society 1973;2(1): 37-44.
A Clinical Observation on Cerebral Hemiatrophy.
M B Ju, J U Song
1Department of Neurosurgery, Korea General Hospital, Seoul, Korea.
2Department of Neurosurgery, St. Mary's Hospital Catholic Medical College, Seoul, Korea.
We have experienced 10 cases of cerebral hemiatrophy, whom admitted to the Presbyterian Hospital, Taegu from October 1994 to August 1968. These 10 cases of cerebral hemiatrophy are reported with special emphasis on the neuroradiological changes. Causes, clinicial manifestions and various radiological findings of 10 cases of cerebral hemiatrophy are analyzed. The results were summarized as follows. 1) Of 10 cases, 5 were caused by infections, 3 were due to cerebrovascular accidents. On was caused by subdural hygroma and one was by unknown origin. 2) On clinical manifestions, contralateral spastic hemiparesis was common and next were convulsions and low mentality. 3) Changes on plain skull films were observed in 3 cases. Diffuse thickening of the calvarium was seen in one cases, and so called Dyke, Davidoff, Masson syndrome was demonstrated in one case. Increased vascular marking was seen in one case. 4) The main findings in cerebral angiogram were shiftening of the anterior cerebral artery toward the cerebral hemiatrophy and opening of the thalamostriate vein from the internal cerebral vein on the atrophy side. 5) Pneumographicaly, 6 cases revealed moderate to marked unilateral dilatation of the lateral ventricle on the side of cerebral hemiatrophy, and remaining 4 cases were accompanied by mild ventricular dilatation on the other side.
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