Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Isolated Aspergillosis of the Brain in an Immunocompetent Patient: A Case Report

정상 면역을 지닌 환자에서 발견 된 고립된 뇌 아스페르질루스증: 증례 보고

  • Lim, Ji-He (Department of Radiology, Gangnam Severance Hospital, Yonsei University) ;
  • Chung, Tae-Sub (Department of Radiology, Gangnam Severance Hospital, Yonsei University) ;
  • Kim, Hyun-Ki (Department of Diagnostic Pathology, Gangnam Severance Hospital, Yonsei University) ;
  • Ahn, Jung-Yong (Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University) ;
  • Suh, Sang-Hyun (Department of Radiology, Gangnam Severance Hospital, Yonsei University)
  • 임지혜 (연세대학교 강남세브란스병원 영상의학과) ;
  • 정태섭 (연세대학교 강남세브란스병원 영상의학과) ;
  • 김현기 (연세대학교 강남세브란스병원 병리과) ;
  • 안정용 (연세대학교 강남세브란스병원 신경외과) ;
  • 서상현 (연세대학교 강남세브란스병원 영상의학과)
  • Received : 2010.02.27
  • Accepted : 2010.05.13
  • Published : 2010.06.30
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Abstract

Brain aspergillosis has been increasing remarkably. They are known to occur commonly in immunocompromised individuals by hematogenous spread from other primary sites or by direct extension from adjacent structures to central nervous system. We report a rare case of a 29-year-old male without any known medical history, who had isolated brain lesion and the pathology from stereotactic biopsy confirmed cerebral aspergillosis.

뇌에 발생하는 아스페르질루스증은 최근 들어 급증하고 있다. 이 질병은 흔히 면역이 저하된 환자들에서 호발하며, 다른 원발 장기로부터 중추 신경계로의 혈행성 전파 또는 인접 구조물로부터의 직접 침입이 주요 발생 기전으로 알려져 있다. 본 증례는 특이 과거력 없는 29세 남환에서 발견된 고립된 뇌 병변에 대한 보고이며, 정위적 뇌 조직검사에 의한 병리 결과상 아스페르질루스균이 확인 되었다.

Keywords

References

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