중대뇌동맥의 특이한 거대 감염성 뇌동맥류 - 증례보고 -
Unusual Giant Mycotic Aneurysm at the Middle Cerebral Artery - Case Report -
대한뇌혈관학회지 2002년 4권 1호 p.63 ~ 67
진용준, 오창완, 한대희, 유성호, 이철희,
소속 상세정보
진용준 ( Jin Yong-Jun )
서울대학교 의과대학 신경외과학교실
오창완 ( Oh Chang-Wan )
서울대학교 의과대학 신경외과학교실
한대희 ( Han Dae-Hee )
서울대학교 의과대학 신경외과학교실
유성호 ( Yoo Seong-Ho )
서울대학교 의과대학 병리학교실
이철희 ( Lee Chul-Hee )
서울대학교 의과대학 신경외과학교실
KMID : 0890520020040010063
Abstract
Aneurysms at the distal branch of the middle cerebral artery may be mycotic or congenital in origin. A 34 year-old male patient was admitted with a seizure and a 7-day history of upper respiratory tract infection. The neurological examination showed no abnormality except for headache and mild dysarthria. There was no intracardiac lesion suggesting infective endocarditis. CT, MRI and cerebral angiograms revealed a partially thrombosed giant aneurysm at the distal branch of the middle cerebral artery. Pathologic examination revealed acute inflammatory cells and focal necrosis in the aneurysmal wall as well as recent thrombus. Here, we are reporting an unusual case with a giant distal middle cerebral artery aneurysm with intramural inflammation, suggesting a congenital giant aneurysm with secondary infectious inflammation.
키워드
감염성 뇌동맥류;선천성 뇌동맥류;거대동맥류
Congenital aneurysm;Mycotic aneurysm
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