합성 생식샘자극호르몬방출호르몬 피하주사후 양측 후두엽 뇌출혈로 발현된 가역적뇌혈관수축증후군
Reversible Cerebral Vasoconstriction Syndrome Presenting with Bilateral Occipital Hemorrhage after the Subcutaneous Injection of Synthetic Gonadotropin Releasing Hormone
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Reversible cerebral vasoconstriction syndrome (RCVS) is a heterogeneous group of cerebrovascular disease. The pathophysiology of RCVS is unknown, but a disturbance in cerebral vascular tone is one of hypothesis. Long-term use of Gonadotropin-releasing hormone (GnRH) agonists can induce a pseudomenopausal state in which estrogen production are suppressed. It might lead to reduced arterial relaxation by estrogen withdrawal. We report a case of RCVS after the injection of synthetic analogue of GnRH.
Abstract
Reversible cerebral vasoconstriction syndrome (RCVS) is a heterogeneous group of cerebrovascular disease. The pathophysiology of RCVS is unknown, but a disturbance in cerebral vascular tone is one of hypothesis. Long-term use of Gonadotropin-releasing hormone (GnRH) agonists can induce a pseudomenopausal state in which estrogen production are suppressed. It might lead to reduced arterial relaxation by estrogen withdrawal. We report a case of RCVS after the injection of synthetic analogue of GnRH.
참고문헌 (10)
- Sattar A, "Systematic review of reversible cerebral vasoconstriction syndrome", Expert Rev Cardiovasc Ther, 8, pp.1417~1421 (2010)
- Ducros A, "The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome. A prospective series of 67 patients", Brain, 130, pp.3091~3101 (2007)
- Ducros A, "Hemorrhagic manifestations of reversible cerebral vasoconstriction syndrome:frequency, features, and risk factors", Stroke, 41, pp.2505~2511 (2010)
- Miller TR, "Reversible cerebral vasoconstriction syndrome, part 1: epidemiology, pathogenesis, and clinical course", AJNR Am J Neuroradiol, 36, pp.1392~1399 (2015)
- McNeill AM, "Estrogen increases endothelial nitric oxide synthase via estrogen receptors in rat cerebral blood vessels: effect preserved after concurrent treatment with medroxyprogesterone acetate or progesterone", Stroke, 33, pp.1685~1691 (2002)
- Futo J, "Estrogen and progesterone withdrawal increases cerebral vasoreactivity to serotonin in rabbit basilar artery", Life Sci, 50, pp.1165~1172 (1992)
- Matsuyama Y, "A case of reversible cerebral vasoconstriction syndrome (RCVS) triggered by human placenta extract", Rinsho Shinkeigaku, 52, pp.182~185 (2012)
- Freilinger T, "Reversible cerebral vasoconstriction syndrome associated with hormone therapy for intrauterine insemination", Cephalalgia, 30, pp.1127~1132 (2010)
- Soo Y, "Reversible cerebral vasoconstriction syndrome with posterior leucoencephalopathy after oral contraceptive pills", Cephalalgia, 30, pp.42~45 (2010)
- Moussavi M, "Reversible cerebral vasoconstriction syndrome in a 35-year-old woman following hysterectomy and bilateral salpingo-oophorectomy", J Neurointerv Surg, 4, pp.e35~ (2012)