Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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A Cerebral Air Embolism That Developed Following Defecation in a Patient with Extensive Pulmonary Tuberculosis: A Case Report

폐결핵 환자에서 배변 후 발생한 대뇌공기색전증: 증례 보고

  • Oh, Ji-Young (Department of Radiology, College of Medicine, Hanyang University) ;
  • Park, Dong-Woo (Department of Radiology, College of Medicine, Hanyang University) ;
  • Hahm, Chang-Kok (Department of Radiology, College of Medicine, Hanyang University) ;
  • Park, Choong-Ki (Department of Radiology, College of Medicine, Hanyang University) ;
  • Lee, Seung-Ro (Department of Radiology, College of Medicine, Hanyang University) ;
  • Lee, Young-Jun (Department of Radiology, College of Medicine, Hanyang University)
  • 오지영 (한양대학교 의과대학 영상의학과) ;
  • 박동우 (한양대학교 의과대학 영상의학과) ;
  • 함창곡 (한양대학교 의과대학 영상의학과) ;
  • 박충기 (한양대학교 의과대학 영상의학과) ;
  • 이승로 (한양대학교 의과대학 영상의학과) ;
  • 이영준 (한양대학교 의과대학 영상의학과)
  • Received : 2009.10.16
  • Accepted : 2010.07.25
  • Published : 2010.10.01
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Abstract

Cerebral air embolisms generally result from invasive procedures such as a percutaneous needle biopsy, chest tube insertion, central venous catheter access or removal, operations and so on. Likewise, they are mostly iatrogenically induced and present various degrees of severity depending on the number of air bubbles. With the exception of divers, the occurrence of a cerebral air embolism in the absence of invasive procedures is very rare. We report a case of a cerebral air embolism that developed following defecation and was detected by CT in a patient with extensive pulmonary tuberculosis.

대뇌공기색전증은 대부분 폐 세침 생검, 흉관 삽입, 중심정맥관 거치 및 제거, 수술 등과 같은 침습적 시술과 연관된 합병증으로 시술 직후 나타나는 경우가 대부분이며, 유입된 공기의 양에 따라 증상의 정도가 다양하게 나타나는 것으로 되어 있다. 잠수병을 제외하면, 침습적 시술과 연관되지 않은 대뇌공기색전증은 매우 드물다. 저자들은 최근 폐결핵 환자에서 배변 후 발생한 대뇌공기색전증이 뇌전산화단층촬영과 확산자기공명영상을 통해 진단된 1예를 경험하여 보고하고자 한다.

Keywords

References

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