급성 하반신 불완전 마비 및 요축적으로 나타난 척수원뿔경색 1예
A Case of Conus Medullaris Infarction Presented with Sudden Paraparesis and Urinary Retention
1
조회
0
다운로드
0
인용
0
참고문헌
초록
Infarctions of cervical or thoracic spinal cord have been reported, but infarction of the conus medullaris is rare. We report a patient diagnosed as an infarction of the conus medullaris. A 72-year-old man presented a sudden onset of mild paraparesis with acute urinary retention. Follow-up magnetic resonance imaging (MRI) of the spinal cord showed abnormal signal intensity in the conus medullaris. This case demonstrates the clinical importance of infarction of the conus medullaris in differential diagnosis of a patient who suddenly had paraparesis and urinary retention as well as diagnostic usefulness of follow-up MRI when the infarcted lesion of the conus medullaris did not shown on initial MRI of the spinal cord. (Korean J Stroke 2009;11:36-39)
Abstract
Infarctions of cervical or thoracic spinal cord have been reported, but infarction of the conus medullaris is rare. We report a patient diagnosed as an infarction of the conus medullaris. A 72-year-old man presented a sudden onset of mild paraparesis with acute urinary retention. Follow-up magnetic resonance imaging (MRI) of the spinal cord showed abnormal signal intensity in the conus medullaris. This case demonstrates the clinical importance of infarction of the conus medullaris in differential diagnosis of a patient who suddenly had paraparesis and urinary retention as well as diagnostic usefulness of follow-up MRI when the infarcted lesion of the conus medullaris did not shown on initial MRI of the spinal cord. (Korean J Stroke 2009;11:36-39)
참고문헌 (10)
- Satran R, "Spinal cord infarction", Stroke, 19, pp.529~532 (1998)
- Lee KH, "A case of spinal stroke due to the obstruction of Adamkiewicz artery.", J Korean Neurol Assoc, 16, pp.597~600 (1998)
- 한상돈, "흉수부 후척수동맥경색", 대한신경과학회지, 23(5), pp.718~720 (2005), 대한신경과학회
- 박상원, "가슴 통증을 동반한 척수경색", 대한신경과학회지, 23(6), pp.840~841 (2005), 대한신경과학회
- Thurnher MM, "Diffusion-weighted MR imaging (DWI) in spinal cord ischemia", Neuroradiology, 48, pp.795~801 (2006)
- Nadeltchev K, "Long-term outcome of acute spinal cord ischemia syndrome", Stroke, 35, pp.560~565 (2004)
- Romanes GJ, "The arterial blood supply of the human spinal cord", Paraplegia, 2, pp.199~207 (1965)
- Masson C, "Spinal cord infarction: clinical and magnetic resonance imaging findings and short-term outcome", J Neurol Neurosurg Psychiatry, 75, pp.1431~1435 (2004)
- Cheng MY, "Spinal cord infarction in Chinese patients. Clinical features, risk factors, imaging and prognosis", Cerebrovasc Dis, 26, pp.502~508 (2008)
- Anderson NE, "Infarction of the conus medullaris", Ann Neurol, 21, pp.470~474 (1987)