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뇌출혈과 동반된 뇌간에 국한된 고혈압 뇌병의증: 사례 보고

Probable Isolated Hypertensive Brainstem Encephalopathy Combined with Intracerebral Hemorrhage: a Case Report

  • 김아영 (동국대학교 일산병원 영상의학과) ;
  • 서형석 (고려대학교 안산병원 영상의학과) ;
  • 정상욱 (동국대학교 일산병원 신경과) ;
  • 이용석 (동국대학교 일산병원 영상의학과)
  • Kim, Ah-Young (Department of Radiology, Dongguk University International Hospital, Dongguk University) ;
  • Seo, Hyung Suk (Department of Radiology, Korea University Ansan Hospital) ;
  • Jeong, Sang-Wuk (Department of Neurology, Dongguk University International Hospital, Dongguk University) ;
  • Lee, Yong Seok (Department of Radiology, Dongguk University International Hospital, Dongguk University)
  • 투고 : 2014.07.18
  • 심사 : 2014.09.16
  • 발행 : 2014.09.30

초록

고혈압 뇌병증과 기저핵의 뇌출혈은 급성 고혈압에서 나타나는 의학적 응급상황이다. 고혈압 뇌병증과 뇌출혈의 관계는 밝혀져 있지 않지만 대량 출혈에 의한 뇌압상승은 쿠싱 반응을 일으켜 고혈압 뇌병증을 유발하거나 악화시킬 수 있을 것으로 추정된다. 이 보고는 뇌출혈과 동반하여 일어난 뇌간의 독립적인 고혈압 뇌병의증이라는 드문 사례를 기록한다.

Hypertensive encephalopathy and basal ganglia intracerebral hemorrhage (ICH) are a medical emergency caused by a sudden elevation of systemic blood pressure. Although the relationship between hypertensive encephalopathy and large ICH has not been clarified yet, Cushing reflex in acute elevations of ICP due to large ICH may induce or aggravate hypertensive encephalopathy. We report a rare case of isolated hypertensive brainstem encephalopathy combined with hypertensive ICH.

키워드

참고문헌

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