급성 뇌경색 환자와 구별되는 급성기 멜라스증후군 환자의 특징적인 영상
Characteristic Neuroimaging Findings in a Patient with Acute Metabolic Encephalopathy, Lactic Acidosis and Stroke-Like Episodes Syndrome Distinguishable from that of Acute Ischemic Stroke
김효동, 이정주, 김병건, 권오현, 박종무, 강규식, 이웅우,
소속 상세정보
김효동 ( Kim Hyo-Dong )
노원을지대학교병원 신경과
이정주 ( Lee Jung-Ju )
노원을지대학교병원 신경과
김병건 ( Kim Byung-Kun )
노원을지대학교병원 신경과
권오현 ( Kwon O-Hyun )
노원을지대학교병원 신경과
박종무 ( Park Jong-Moo )
노원을지대학교병원 신경과
강규식 ( Kang Kyu-Sik )
노원을지대학교병원 신경과
이웅우 ( Lee Woong-Woo )
노원을지대학교병원 신경과
Abstract
Metabolic encephalopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome is characterized by encephalopathy mimicking acute stroke, which is rarely observed in adulthood. We present a case of a female who presented with several neurologic deficits and diagnosed with MELAS syndrome. Brain magnetic resonance imaging (MRI) showed acute lesions mimicking stroke, which were not compatible with specific vascular territories. Magnetic resonance spectroscopy showed lactate peaks in both symptomatic and asymptomatic area. Single proton emission computed tomography (SPECT) shows hyperperfusion in the same area. On follow-up image, MRI lesion nearly disappeared and hyperperfusion on SPECT changed into hypoperfusion. We discuss the clinical characteristics and image findings of our patient.
키워드
MELAS syndrome; Single photon emission computed tomography; Magnetic resonance imaging
원문 및 링크아웃 정보
등재저널 정보