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자궁샘근육증과 연관되어 재발하는 뇌경색

Recurrent Cerebral Infarction Associated with Uterine Adenomyosis

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초록

Uterine adenomyosis, which is known as a benign gynecological disease, can induce hypercoagulable state and be an uncommon cause of cerebral thromboembolism, as cerebral infarction is common in patients with malignant neoplasm. We report a woman with uterine adenomyosis who shows several episodes of cerebral infarction and discuss the stoke mechanism and treatment of this under-recognized etiology of stroke

Abstract

Uterine adenomyosis, which is known as a benign gynecological disease, can induce hypercoagulable state and be an uncommon cause of cerebral thromboembolism, as cerebral infarction is common in patients with malignant neoplasm. We report a woman with uterine adenomyosis who shows several episodes of cerebral infarction and discuss the stoke mechanism and treatment of this under-recognized etiology of stroke

참고문헌 (10)

  1. Nakamura Y, "Acute disseminated intravascular coagulation developed during menstruation in an adenomyosis patient", Arch Gynecol Obstet, 267, pp.110~112 (2002)
  2. Akira S, "Successful long-term management of adenomyosis associated with deep thrombosis by low-dose gonadotropin-releasing hormone agonist therapy", Clin Exp Obstet Gyn, 36, pp.123~125 (2009)
  3. Yamashiro K, "Cerebral infarction developing in a patient without cancer with a markedly elevated level of mucinous tumor marker", J Stroke Cerebrovasc Dis, 21, pp.619~ (2012)
  4. Yamashiro K, "Cerebral infarcts associated with adenomyosis among middle-aged women", J Stroke Cerebrovasc Dis, 21, pp.910~ (2012)
  5. Okazaki K, "Cerebral infarction associated with benign mucin-producing adenomyosis : report of two cases", BMC Neurol, 18, pp.166~ (2018)
  6. Yin X, "Cerebral infarcts associated with adenomyosis : a rare risk factor for stroke in middle-aged women : a case series", BMC Neurol, 18, pp.213~ (2018)
  7. Zhao Y, "Acute cerebral infarction with adenomyosis in a patient with fever : a case report", BMC Neurol, 20, pp.210~ (2020)
  8. Jovin TG, "High titers of CA-125 may be associated with recurrent ischemic strokes in patients with cancer", Neurology, 64, pp.1944~1945 (2005)
  9. Pineo GF, "The activation of coagulation by extracts of mucus : a possible pathway of intravascular coagulation accompanying adenocarcinomas", J Laboratory Clin Medicine, 82, pp.255~266 (1973)
  10. Aso Y, "Recurrent multiple cerebral infarctions related to the progression of adenomyosis:a case report", BMC Neurol, 18, pp.119~ (2018)

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