대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제83권1호
  • /
  • Pages.206-211
  • /
  • 2022
  • /
  • 1738-2637(pISSN)
  • /
  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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혈액투석 환자에서 발생한 중심 정맥 협착의 혈관성형술 후 호전된 대뇌 정맥 고혈압: 증례 보고

Resolved Cerebral Venous Hypertension after Angioplasty of Central Venous Stenosis in a Hemodialysis Patient: A Case Report

  • 강희민 (순천향대학교 서울병원 영상의학과) ;
  • 박성태 (순천향대학교 서울병원 영상의학과)
  • Heemin Kang (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Sung-Tae Park (Department of Radiology, Soonchunhyang University Seoul Hospital)
  • 투고 : 2021.02.18
  • 심사 : 2021.04.24
  • 발행 : 2022.01.01
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초록

혈액투석 환자에서 중심정맥 협착은 비교적 흔한 합병증이다. 하지만 중심정맥 협착으로 인해 대뇌 정맥 고혈압과 이로 인한 신경학적 증상이 발생하는 것은 비교적 드물다. 중심정맥협착으로 인해 발생한 좌측 내경정맥으로부터의 역행성 혈류로 대뇌 정맥 고혈압이 발생한 63세 남성의 증례를 보고하고자 한다. 환자는 중심정맥 협착에 대한 치료를 받은 후 증상 및 치료 전 자기공명영상에서 역행성 혈류를 의미하는 time-of-flight 신호가 소실되었다.

Stenosis of the central veins is a common complication in hemodialysis patients. However, cerebral venous hypertension and neurological symptoms caused by central vein stenosis are relatively rare. We present a rare case of cerebral venous hypertension in a 63-year-old male who showed venous reflux into the dural sinuses due to central venous stenosis on time-of-flight MR angiography. After management for central venous stenosis, the venous reflux disappeared.

키워드

참고문헌

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