Journal of Chest Surgery

  • 제38권3호
  • /
  • Pages.237-240
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  • 2005
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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개심술 후 뇌경색과 비슷한 양상을 띠는 Todd 마비에 대한 치험 1예

An Unusual Case of Todd's Paralysis Mimicking Large Cerebral Infarction after Open Heart Surgery

  • 박한규 (순천향대학교 의과대학 흉부외과학교실) ;
  • 장원호 (순천향대학교 의과대학 흉부외과학교실) ;
  • 노학재 (순천향대학교 의과대학 신경과학교실) ;
  • 염욱 (순천향대학교 의과대학 흉부외과학교실)
  • Park Han Gyu (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University Hospital) ;
  • Chang Won Ho (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University Hospital) ;
  • Roh Hak Jae (Department of Neurology, College of Medicine, Soonchunhyang University Hospital) ;
  • Youm Wook (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University Hospital)
  • 발행 : 2005.03.01
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초록

Todd 마비는 경련발작 후에 발생하는 일시적인 신경학적 결손으로 국소적 혹은 전신발작 후에 발생 할 수 있는 합병증으로, 명확한 병태생리가 밝혀지지 않았으나 경련발작 후 신경세포의 피로(ex-haustion) 혹은 소실에 의해 초래된다고 알려져 있다. 저자들은 개심술 후 우측 중대뇌동맥 뇌경색과 유사한 임상양상을 보인 Todd 마비 환자를 경험하였기에 문헌고찰과 함께 보고한다.

Improved operative, anesthetic, and cardiopulmonary bypass (CPB) techniques have significantly reduced postoperative complications; however, neurologic disorders remain a serious complication after open heart surgery. Possible explanations for neurologic complications are microembolism from CPB, decreased cerebral pefusion pressure due to intraoperative hypotension and unexpected metabolic changes. Amomg these, seizure has low incidence and Todd's paralysis after open heart surgery is extremely rare. Todd's paralysis is a complication of a seizure due to neuronal exhaustion mimicking large cerebral infarction after open heart surgery.

키워드

참고문헌

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