척수병증으로 발현한 자발성 콜레스테롤 결정에 의한 색전증 1예
A Case of Spontaneous Cholesterol Crystal Embolism Presenting with Myelopathy
0
조회
0
다운로드
0
인용
0
참고문헌
초록
Cholesterol cystal embolism is a serious complication of atheroma. Cholesterol embolism can give rise a various clinical spectrum, depending of the site of the embolism, but neurological manifestation involving spinal cord is extremely rare. We describe a case of cholesterol embolism causing spinal cord infarction presented with myelopathy. A 74-year-old male visited our hospital due to sudden paraparesis and sensory loss below T10 dermatome. Laboratory test revealed renal failure requiring hemodialysis and renal biopsy showed cholesterol cleft emboli in the microvascular space. Myelopathy would be presenting symptom of systemic cholesterol crystal embolism. (Korean J Stroke 2008;10:139-141)
Abstract
Cholesterol cystal embolism is a serious complication of atheroma. Cholesterol embolism can give rise a various clinical spectrum, depending of the site of the embolism, but neurological manifestation involving spinal cord is extremely rare. We describe a case of cholesterol embolism causing spinal cord infarction presented with myelopathy. A 74-year-old male visited our hospital due to sudden paraparesis and sensory loss below T10 dermatome. Laboratory test revealed renal failure requiring hemodialysis and renal biopsy showed cholesterol cleft emboli in the microvascular space. Myelopathy would be presenting symptom of systemic cholesterol crystal embolism. (Korean J Stroke 2008;10:139-141)
참고문헌 (9)
- Donohue KG, "Cholesterol crystal embolization: an atherosclerotic disease with frequent and varied cutaneous manifestation", J Eur Acad Dermatol Venereol, 17, pp.504~511 (2003)
- Fine MJ, "Cholesterol crystal embolization: a review of 221 cases in the English literature", Angiology, 38, pp.768~784 (1987)
- Ezzeddine MA, "Clinical characteristics of pathologically proved cholesterol emboli to the brain", Neurology, 54, pp.1681~1683 (2000)
- Pascual M, "Stroke secondary to multiple spontaneous cholesterol emboli", Vasa, 20, pp.74~77 (1991)
- 장성희, "피부생검으로 확진한 관동맥 조영술 후의 중증 콜레스테롤 색전증 2예", 대한내과학회지, 63(1), pp.79~84 (2002), 대한내과학회
- Ezzeddine MA, "Clinical characteristics of pathologically proved cholesterol emboli to the brain", Neurology, 25, pp.1681~1683 (2000)
- Sengoku R, "Spinal cord infarction due to cholesterol emboli complicating intra-aortic balloon pumping (case report and review of the literature)", Rinsho Shinkeigaku, 44, pp.604~608 (2004)
- Harris RE, "Spinal cord infarction following intraaortic balloon support", Ann Thorac Surg, 42, pp.206~207 (1986)
- Gore I, "Observations on the fate of cholesterol emboli", J Atheroscler Res, 4, pp.527~535 (1964)