말라리아 후유증으로 초래된 피질하성 치매 1례

A Case of Subcortical Dementia After Cerebral Malaria

  • 정효경 (인제대학교 의과대학 신경정신과학교실) ;
  • 이영호 (인제대학교 의과대학 신경정신과학교실) ;
  • 정영조 (인제대학교 의과대학 신경정신과학교실) ;
  • 김수지 (인제대학교 의과대학 신경정신과학교실) ;
  • 박병관 (인제대학교 의과대학 신경정신과학교실)
  • Chung, Hyo-Kyung (Department of Neuropsychiatry, Seoul Paik Hospital, College of Medicine, Inje University) ;
  • Lee, Young-Ho (Department of Neuropsychiatry, Seoul Paik Hospital, College of Medicine, Inje University) ;
  • Chung, Young-Cho (Department of Neuropsychiatry, Seoul Paik Hospital, College of Medicine, Inje University) ;
  • Kim, Su-Sie (Department of Neuropsychiatry, Seoul Paik Hospital, College of Medicine, Inje University) ;
  • Park, Byoung-Kwan (Department of Neuropsychiatry, Seoul Paik Hospital, College of Medicine, Inje University)
  • 발행 : 1995.12.25

초록

Subcortical dementia may occur as a complication of cerebral malaria via deep white matter demyelination with encephalitis and diffuse small vessel vasculitis. In subcortical dementia, impairment in attention and frontal executive function are predominant. Patients are often inert, indifferent, and uninterested. They appear characteristically 'slowed up' with a marked deficit in the retrieval of information. Changes in mood, personality, and social conduct are very common. We describe a case of subcortical dementia, who has definite changes in brain MRI after cerebral malaria.

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