본문 바로가기
KERD
논문KCI 등재

보행 실조의 지연 회복을 보인 소뇌 병변을 동반한 급성 베르니케 뇌병증 환자의 확산텐서 신경로 영상

Diffusion Tensor Tractography in an Acute Wernicke Encephalopathy Patient with Cerebellar Lesion Showing Delayed Recovery of Gait Ataxia

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류신경과학

초록

Diffusion tensor image (DTI) can provide the prognosis of the rehabilitation as well as the structural integrity of the white matter tract in acute brain lesion. We experienced a 29-yr old female Wernicke encephalopathy patient. The extensive cerebellar lesions resulted in severe gait ataxia at the early stage of the disease. However, preserved pontocerebellar tracts which were demonstrated in 3-dimensional fiber tractography using DTI may explain the delayed improvement of gait ataxia one year later. DTI can be a useful tool for the in-vivo prediction of the ataxia prognosis in the Wernicke encephalopathy patient.

Abstract

Diffusion tensor image (DTI) can provide the prognosis of the rehabilitation as well as the structural integrity of the white matter tract in acute brain lesion. We experienced a 29-yr old female Wernicke encephalopathy patient. The extensive cerebellar lesions resulted in severe gait ataxia at the early stage of the disease. However, preserved pontocerebellar tracts which were demonstrated in 3-dimensional fiber tractography using DTI may explain the delayed improvement of gait ataxia one year later. DTI can be a useful tool for the in-vivo prediction of the ataxia prognosis in the Wernicke encephalopathy patient.

참고문헌 (15)

  1. Reuler JB, "Current concepts. Wernicke’s encephalopathy", N Engl J Med, 312, pp.1035~1039 (1985)
  2. Machado A, "Cortical linear lesions in Wernicke’s encephalopathy: can diffusion-weighted imaging herald prognostic information", J Neuropsychiatry Clin Neurosci, 22(123), pp.24~25 (2010)
  3. Nardone R, "MR atypical Wernicke encephalopathy showing extensive brain stem and diencephalic involvement", J Neuroimaging, 20, pp.204~207 (2010)
  4. Kim JE, "Diffusion-Weighted MRI in Recurrent Wernicke’s Encephalopathy: a Remarkable Cerebellar Lesion", J Clin Neurol, 2, pp.141~145 (2006)
  5. Kim HA, "Atypical Wernicke’s encephalopathy with remarkable cerebellar lesions on diffusion-weighted MRI", Eur Neurol, 58, pp.51~53 (2007)
  6. Lapergue B, "Diffusion weighted imaging of cerebellar lesions in Wernicke’s encephalopathy", J Neuroradiol, 33, pp.126~128 (2006)
  7. White ML, "MR imaging with diffusion-weighted imaging in acute and chronic Wernicke encephalopathy", Am J Neuroradiol, 26, pp.2306~2310 (2005)
  8. 김대현, "급성 베르니케뇌병증 환자의 확산강조 자기공명영상", 대한신경과학회지, 23(1), pp.108~110 (2005), 대한신경과학회
  9. Ito R, "Diffusion tensor brain imaging and tractography", Neuroimaging Clin N Am, 12, pp.1~19 (2002)
  10. Basser PJ, "Microstructural and physiological features of tissues elucidated by quantitative-diffusion-tensor MRI", J Magn Reson B, 111, pp.209~219 (1996)
  11. Chu K, "Diffusion-weighted imaging abnormalities in wernicke encephalopathy: reversible cytotoxic edema", Arch Neurol, 59, pp.123~127 (2002)
  12. Fellgiebel A, "Increased cerebellar PET glucose metabolism corresponds to ataxia in Wernicke-Korsakoff syndrome", Alcohol Alcohol, 39, pp.150~153 (2004)
  13. Cho SH, "Motor outcome according to the integrity of the corticospinal tract determined by diffusion tensor tractography in the early stage of corona radiata infarct", NEUROSCIENCE LETTERS, 426(2), pp.123~127, ELSEVIER IRELAND LTD
  14. Huisman TA, "Diffusion tensor imaging in progressive multifocal leukoencephalopathy: early predictor for demyelination", AJNR, 26, pp.2153~2156 (2005)
  15. Hazell AS, "Astrocytes are a major target in thiamine deficiency and Wernicke’s encephalopathy", Neurochem Int, 55, pp.129~135 (2009)

관련 논문AI추천

이 간행물의 다른 논문 (5건)