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MTHFR유전자의 이형접합변이(C677T)를 동반한 대뇌정맥동혈전증

Cerebral Venous Sinus Thrombosis with MTHFR C677T Heterozygous Mutation

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주제분류신경과학

초록

Decrease in the activity of methylenetetrahydrofolate reductase (MTHFR) increases the level of homocysteine. MTHFR C677T gene polymorphism has been reported as a wellknown cause of elevated homocysteine level associated with cerebral venous sinus thrombosis (CVST). A 34yearold male was admitted with severe headache after generalized seizure. Brain magnetic resonance venography showed thrombus in superior sagittal sinus. In the investigation of risk factors, a slight increase in homocysteine caused by MTHFR C677T heterozygous mutation is presumed to be the cause of CVST

Abstract

Decrease in the activity of methylenetetrahydrofolate reductase (MTHFR) increases the level of homocysteine. MTHFR C677T gene polymorphism has been reported as a wellknown cause of elevated homocysteine level associated with cerebral venous sinus thrombosis (CVST). A 34yearold male was admitted with severe headache after generalized seizure. Brain magnetic resonance venography showed thrombus in superior sagittal sinus. In the investigation of risk factors, a slight increase in homocysteine caused by MTHFR C677T heterozygous mutation is presumed to be the cause of CVST

참고문헌 (9)

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  4. 최병옥, "MTHFR C677T 유전자 다형성과 허혈성 뇌졸중의 상관 관계", 대한신경과학회지, 23(5), pp.607~613 (2005), 대한신경과학회
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  7. Hong SC, "A case of cerebellar hemorrhage associated with hyperhomocysteinemia", J Korean Neurol Assoc, 17, pp.407~411 (1999)
  8. Lee JY, "Cerebral venous thrombosis and livedo reticularis in a case with MTHFR 677TT homozygote", J Clin Neurol, 2, pp.137~140 (2006)
  9. José MF, "Prognosis of cerebral vein and dural sinus thrombosis : results of the international study on cerebral vein and dural sinus thrombosis(ISCVT)", Stroke, 35, pp.664~670 (2004)

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