Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Pathophysiology-based Interpretation of Magnetic Resonance Imaging and Management of Cerebral Fat Embolism: Case Report and Review of Literature

병리 생리학적 근거를 바탕으로한, 뇌 지방색전증의 자기공명영상의 해석 및 치료: 증례 보고 및 문헌고찰

  • Park, Jae-Hyo (Department of Neurosurgery, Kangwon National University Hospital, School of Medicine, Kangwon National University) ;
  • Lim, Byung-Chul (Department of Neurosurgery, In-Sung general Hospital)
  • 박재효 (강원대학교 신경외과학교실) ;
  • 임병철 (인성병원 신경외과)
  • Received : 2010.03.12
  • Accepted : 2010.05.30
  • Published : 2010.06.30
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Abstract

Cerebral fat embolism (CFE) is a rare, albeit potentially lethal complication of long-bone fractures. All trauma patients who are initially lucid and subsequently experience mental status deterioration should undergo immediate evaluation of possible CFE. In the present case, magnetic resonance imaging (MRI) was the most sensitive technique for the diagnosis of CFE, particularly the use of diffusionweighted images (DWI). The authors present this case to report a pathophysiologybased interpretation of the MR characteristics and treatment of CFE.

뇌 지방 색전증은 비록 드물지만, 장골 골절의 잠재적, 치명적 합병증이다. 두부외상이 없이, 초기에는 명료한 의식을 보였으나, 추후 의식저하를 보이는 모든 환자는 뇌 지방 색전증을 염두에 둔 진단적 검사를 받아야한다. 본 증례에서, 자기공명영상 특히 확산-강조 영상이 뇌 지방 색전증의 진단에있어서 최고의 민감도를 보였다. 저자는 이 증례를 통해, 병리생리학적 근거를 바탕으로 한 뇌 지방 색전증의 자기공명영상의 특이점 해석과 치료를 보고하고자 한다.

Keywords

References

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