흉선종을 가진 환자에서 부분운동간대발작으로 발현한 신생물딸림 변연계외부 뇌염
Paraneoplastic Extralimbic Encephalitis Presenting with Partial Motor Clonic Seizure in a Patient with Invasive Thymoma
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초록
Paraneoplastic encephalitis presenting with partial clonic seizure is rare. We report a 57-year-old man with clonic seizure in his left arm. He had past medical history of recurrent thymoma and thymomectomy. Magnetic resonance imaging showed multiple brain lesions, but none of them were congruent with the partial seizure. His symptoms and brain lesions resolved after steroid therapy. This is the first reported case extralimbic encephalitis presenting as partial seizure with invasive thymoma in Korea.
Abstract
Paraneoplastic encephalitis presenting with partial clonic seizure is rare. We report a 57-year-old man with clonic seizure in his left arm. He had past medical history of recurrent thymoma and thymomectomy. Magnetic resonance imaging showed multiple brain lesions, but none of them were congruent with the partial seizure. His symptoms and brain lesions resolved after steroid therapy. This is the first reported case extralimbic encephalitis presenting as partial seizure with invasive thymoma in Korea.
참고문헌 (8)
- 김광국, "방종양성증후군", 대한신경과학회지, 20(3), pp.215~222 (2002), 대한신경과학회
- Gultekin SH, "Paraneoplastic limbic encephalitis: neurological symptoms, immunological findings and tumour association in 50 patients", Brain, 123, pp.1481~1494 (2000)
- Rizzardi G, "Paraneoplastic extra limbic encephalitis associated with thymoma", Interact Cardiovasc Thorac Surg, 9, pp.755~756 (2009)
- Szabo K, "Diffusion-weighted and perfusion MRI demonstrates parenchymal changes in complex partial status epilepticus", Brain, 128, pp.1369~1376 (2005)
- Di Bonaventura C, "Diffusion-weighted magnetic resonance imaging in patients with partial status epilepticus", Epilepsia, 50(Suppl 1), pp.45~52 (2009)
- Anderson NE, "Limbic encephalitis - a review", J Clin Neurosci, 15, pp.961~971 (2008)
- Okita K, "Recurrent limbic and extralimbic encephalitis associated with thymoma", Clin Neurol Neurosurg, 109, pp.206~209 (2007)
- Schmitt J, "The role of chemotherapy in advanced thymoma", J Thorac Oncol, 5, pp.S357~S360 (2010)