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특이한 구조의 뇌정맥발달기형 내 혈전증에 의해 생긴 뇌출혈: 증례 보고

Intracerebral Hemorrhage Caused by Thrombosis of a Developmental Venous Anomaly with an Unusual Structure: A Case Report

  • 이선향 (대진의료재단 분당제생병원 영상의학과) ;
  • 김대윤 (대진의료재단 분당제생병원 영상의학과) ;
  • 김미경 (대진의료재단 분당제생병원 신경외과) ;
  • 김현진 (대진의료재단 분당제생병원 영상의학과)
  • Sunhyang Lee (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Dae Yoon Kim (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Mi Kyung Kim (Department of Neurosurgery, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Hyun Jin Kim (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital)
  • 투고 : 2021.02.02
  • 심사 : 2021.04.24
  • 발행 : 2022.01.01

초록

뇌정맥발달기형은 일반적으로 증상을 유발하지 않는 흔한 두개 내 혈관 기형이다. 뇌정맥발달기형과 관련된 출혈은 동반된 해면상 기형이 원인인 경우가 대부분인 것으로 알려져 있으며, 뇌정맥발달기형 내 혈전증이 뇌출혈을 일으킨 경우는 극히 드물게 보고되어 있다. 저자들은 혈전증을 유발할 수 있을 것으로 보이는 특이한 구조의 뇌정맥발달기형을 가진 환자에서 혈전증과 큰 뇌출혈이 생긴 1예를 경험하였기에 컴퓨터단층촬영 소견과 자기공명영상 소견을 보고하고자 한다.

Developmental venous anomalies (DVAs) are common intracranial vascular malformations and they are generally do not cause clinical complications. In cases showing DVA and hemorrhage, the hemorrhage is usually associated with adjacent cavernous malformations. Very few cases of intracerebral hemorrhage (ICH) caused by thrombosis in DVA have been reported in the literature. In this case report, we present an interesting case of a large ICH caused by thrombosis within a DVA with an unusual structure that may have potentiated the thrombosis.

키워드

참고문헌

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