뇌 심부 정맥 혈전증 : 전신적 유로키나제 혈전용해술 후 헤파린 투여 치료법의 성공 증례 - 증 례 보 고 -

Deep Cerebral Venous Thrombosis : Successful Treatment by Systemic Urokinase Followed by Heparin - Case Report -

  • 박재효 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 양지호 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 유도성 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 조경석 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 허필우 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 권성오 (포천 중문의과대학 신경외과학교실) ;
  • 김달수 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 강준기 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실)
  • Park, Jae Hyo (Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Yang, Ji Ho (Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Yoo, Do Sung (Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Cho, Kyoung Suok (Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Huh, Pil Woo (Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Kwon, Seong Hh (Department of Neurosurgery, College of Medicine, Pochon CHA University) ;
  • Kim, Dal Soo (Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Kang, Joon Ki (Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine)
  • 투고 : 2000.05.19
  • 심사 : 2000.09.20
  • 발행 : 2001.01.28

초록

We present two cases of deep cerebral venous thrombosis(DCVT) with the totally occluded straight sinus. A 42-year-old female received with altered mentality . She has taken antihistamine for six years to treat the paranasal sinusitis. Another 34-year-old female who used the oral contraceptive for 11 months presented with acute behavior change . Both of these patients were diagnosed by computed tomography(CT), magnetic resonance(MR) imaging, and cerebral angiography. They were fully recovered with systemic urokinase thrombolysis followed by heparin therapy. We report that the intravenous thrombolysis was potentially effective management strategy in our cases of DCVT with the totally occluded straight sinus.

키워드