Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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속립성 뇌결핵의 초기 자기공명영상 소견과 치료 후 변화

MR Imaging of Disseminated Tuberculosis of the Brain in a Patient with Miliary Tuberculosis : Initial Findings and Changes Six Months after Antituberculous Therapy

  • 장재호 (을지의과대학교 소아과학교실) ;
  • 임재우 (을지의과대학교 소아과학교실) ;
  • 정순이 (을지의과대학교 소아과학교실) ;
  • 최규철 (을지의과대학교 소아과학교실) ;
  • 한태일 (을지의과대학교 방사선과학교실)
  • Jang, Jae Ho (Department of Pediatrics, School of Medicine, Eulji University) ;
  • Lim, Jae Woo (Department of Pediatrics, School of Medicine, Eulji University) ;
  • Jung, Soon Lee (Department of Pediatrics, School of Medicine, Eulji University) ;
  • Choeh, Kyuchul (Department of Pediatrics, School of Medicine, Eulji University) ;
  • Han, Taeil (Department of Radiology, School of Medicine, Eulji University)
  • 투고 : 2002.08.06
  • 심사 : 2002.09.24
  • 발행 : 2002.12.15
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초록

저자들은 속립성 결핵으로 진단한 23개월된 여아에서 신경학적인 증상이 나타나기 전인 초기의 속립성 뇌결핵에서 뇌자기공명영상 소견 및 치료에 따른 경시적 호전 양상의 변화를 자기공명영상소견으로 얻었기에 보고하는 바이다.

A 23-month-old girl visited with chronic cough and her chest radiograph showed miliary tuberculosis. There was no neurological abnormality. But CSF findings showed WBC $22/mm^3$(lymphocyte 20%, neutrophil 80%) and positive result of polymease chain reaction(PCR) for M. tuberculosis. MR imaging showed multiple ring enhanced nodules and ovoid nonenhancing bright signal lesion on the cerebrum, cerebellar parenchyme, and left basal ganglia. Antituberculous chemotherapy was done and follow-up MR imaging was done after six months. One month after treatment, the number and size of nodules had decreased. Six months after treatment, the multiple enhanced nodules and leptomeningeal enhancement were not observed, and high signal intensity of genu portion of left internal capsule and posterior portion of putamen were decreased.

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