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Medullary Infarction Presenting as Sudden Cardiac Arrest: Report of Two Cases and Review of the Literature

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초록

The causes of sudden death after medullary infarction involve arrhythmia, central respiratory failure, and dysautonomia. Sudden cardiac arrest in a medullary infarction is uncommon. Most of these cases experienced sudden cardiopulmonary arrest within 2 weeks from stroke onset as the extent of lesion increased. Here, we report two cases of medullary infarction presenting as sudden cardiac arrest. These cases indicate that medullary infarction could be one of the causes of sudden cardiac arrest.

Abstract

The causes of sudden death after medullary infarction involve arrhythmia, central respiratory failure, and dysautonomia. Sudden cardiac arrest in a medullary infarction is uncommon. Most of these cases experienced sudden cardiopulmonary arrest within 2 weeks from stroke onset as the extent of lesion increased. Here, we report two cases of medullary infarction presenting as sudden cardiac arrest. These cases indicate that medullary infarction could be one of the causes of sudden cardiac arrest.

참고문헌 (10)

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  2. Duberkar D, "Sudden death in a case of lateral medullary syndrome", Neurol India, 57, pp.225~ (2009)
  3. Jaster JH, "Arrhythmia mechanism of unexpected sudden death following lateral medullary infarction", Tenn Med, 91, pp.284~ (1998)
  4. Lassman AB, "Paroxysmal apnea and vasomotor instability following medullary infarction", Arch Neurol, 62, pp.1286~1288 (2005)
  5. 남기웅, "외측연수경색 이후 발생한 돌연사", 대한신경과학회지, 34(4), pp.357~359 (2016), 대한신경과학회[DOI]
  6. Black M, "Sudden unexplained death in adults caused by intracranial pathology", J Clin Pathol, 55, pp.44~50 (2002)
  7. Jaster JH, "Sudden unexpected death related to medullary brain lesions", Am J Forensic Med Pathol, 29, pp.371~374 (2008)
  8. Tada M, "Depletion of medullary serotonergic neurons in patients with multiple system atrophy who succumbed to sudden death", Brain, 132, pp.1810~1819 (2009)
  9. Phillips AM, "Brain stem stroke causing baroreflex failure and paroxysmal hypertension", Stroke, 31, pp.1997~2001 (2000)
  10. von Heinemann P, "Recurrent cardiac arrest caused by lateral medulla oblongata infarction", BMJ Case Rep, 2009 (2009)

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