{"title":"Surgical management of temporal lobe intracerebral hemorrhage presenting with bilateral deafness: a case report","authors":"Doyoung Na, H. Choi, Y. Cho, Jinpyeong Jeon","doi":"10.52662/jksfn.2021.00010","DOIUrl":"https://doi.org/10.52662/jksfn.2021.00010","url":null,"abstract":"hearing loss (SNHL) is considered rare. However, there are a few reports regarding the treatment of this condition, most of which have described the use of conservative treatment. We herein report the surgical outcome of a 58-year-old patient diagnosed with temporal lobe ICH presenting with bilateral SNHL. A 58-year-old male presented to our hospital complaining of bilateral deafness. Pure tone audiometry (PTA) revealed bilateral SNHL. He had a history of spontaneous ICH in the left temporal lobe region 2 years previously. Following routine intravenous dexamethasone, the patient was screened with brain magnetic resonance imaging. Imaging showed subcortical ICH (3.4×2.5×4.0 cm) in the right temporal lobe area. Further physical examination did not reveal any neurologic deficits other than deafness. He underwent surgery for ICH removal. Postoperative computed tomography confirmed that the ICH was removed. After surgery, his symptoms and follow-up PTA showed improvement on both sides within 2 days. Bilateral SNHL due to ICH is rare and has a poor prognosis. However, surgery may be an appropriate treatment for bilateral SNHL.","PeriodicalId":193825,"journal":{"name":"Journal of the Korean Society of Stereotactic and Functional Neurosurgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127739767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The mixed era of stereotactic radiosurgery and radiotherapy","authors":"Kawngwoo Park","doi":"10.52662/jksfn.2021.00038","DOIUrl":"https://doi.org/10.52662/jksfn.2021.00038","url":null,"abstract":"Since the introduction of radiosurgery by Leksell in 1951 [1], stereotactic radiosurgery (SRS) with delivery of a high dose of radiation in a single session has been used for the treatment of lesions in the brain and spine [2]. He developed the first commercially available dedicated radiosurgical device called the “Gamma Knife” (GK) in 1968. This machine made it possible to precisely deliver a single, large dose of highly conformal radiation to any number of intracranial sites using 201 fixed cobalt sources aimed at a center point. Since he coined the term “stereotactic radiosurgery”, 330 centers of GK radiosurgery in 54 countries currently treat a total of 80,000 new patients each year. Through approximately 70 years of SRS experience that began with GK radiosurgery, the role of radiosurgery has expanded to a wide variety of benign brain tumors, arteriovenous malformations, functional disorders (trigeminal neuralgia, movement disorder, epilepsy, and pain), and malignant brain tumors. On the other hand, radiation oncologists were unfamiliar with SRS such as highdose irradiation. They did not believe in the effectiveness of high-dose irradiation of the body from a radiobiological perspective, and were even concerned that radiation side effects would increase. These physicians had been treating with fractionated radiotherapy (RT) to reduce radiation side effects and planning target volume margins to minimize treatment uncertainty, as they were in an era of undeveloped imaging techniques. However, advances in radiotherapeutic and radioimaging technology have eliminated uncertainty in precision and high-dose radiation therapy. Subsequently, stereotactic body radiotherapy (SBRT) was derived from SRS with improvements in radiation technology, using a small number of fractions with a high degree of precision within the body, unlike traditional fractionated RT [3]. The terms “SRS” and “SBRT” were used for central nervous system (CNS) and non-CNS anatomic sites, respectively, and in both cases involve the delivery of a Received: May 25, 2021 Accepted: June 9, 2021","PeriodicalId":193825,"journal":{"name":"Journal of the Korean Society of Stereotactic and Functional Neurosurgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121938478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of integrated injection techniques for the serratus posterior superior muscle on interscapular pain, upper extremity pain, and paresthesia","authors":"H. Mun, S. Sirh, Sooji Sirh, H. Sirh","doi":"10.52662/jksfn.2021.00024","DOIUrl":"https://doi.org/10.52662/jksfn.2021.00024","url":null,"abstract":"This is an open-access article distributed under the terms of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The effect of integrated injection techniques for the serratus posterior superior muscle on interscapular pain, upper extremity pain, and paresthesia Hah-Yong Mun, MD, Soo Ji Sirh, MD, So Woon Sirh, MD, Heon Man Sirh, MD","PeriodicalId":193825,"journal":{"name":"Journal of the Korean Society of Stereotactic and Functional Neurosurgery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121933123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}