다낭신 환자의 허혈성 뇌졸중
Ischemic Stroke in Patients with Polycystic Kidney Disease
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Polycystic kidney disease (PKD) is a systemic disorder that is characterized by progressive renal failure, hypertension, and extrarenal manifestations such as cerebral aneurysm. The clinical characteristics of ischemic strokes in patients with PKD have rarely been reported. We present 3 cases of ischemic stroke in patients with PKD. All patients were men and ischemic stroke in their cases occurred at their age of 23, 38, and 59 years. All these patients had early onset hypertension, and one was diagnosed with PKD after the development of ischemic stroke. Ischemic stroke in the 3 cases were subclassified as large artery disease, small artery disease, and moyamoya disease. One of the 3 patients with severe basilar artery stenosis died due to recurrent cerebral infarcts. PKD needs to be considered as a possible contributor of ischemic stroke in young or middle-aged patients with a history of hypertension or nephropathy. (Korean J Stroke 2009;11:88-91)
Abstract
Polycystic kidney disease (PKD) is a systemic disorder that is characterized by progressive renal failure, hypertension, and extrarenal manifestations such as cerebral aneurysm. The clinical characteristics of ischemic strokes in patients with PKD have rarely been reported. We present 3 cases of ischemic stroke in patients with PKD. All patients were men and ischemic stroke in their cases occurred at their age of 23, 38, and 59 years. All these patients had early onset hypertension, and one was diagnosed with PKD after the development of ischemic stroke. Ischemic stroke in the 3 cases were subclassified as large artery disease, small artery disease, and moyamoya disease. One of the 3 patients with severe basilar artery stenosis died due to recurrent cerebral infarcts. PKD needs to be considered as a possible contributor of ischemic stroke in young or middle-aged patients with a history of hypertension or nephropathy. (Korean J Stroke 2009;11:88-91)
참고문헌 (12)
- Torres VE, "Autosomal dominant polycystic kidney disease", Lancet, 369, pp.1287~1301 (2007)
- Igarashi P, "Genetics and pathogenesis of polycystic kidney disease", J Am Soc Nephrol, 13, pp.2384~2398 (2002)
- Lee GJ, "Cerebrovascular complications in autosomal dominant polycystic kidney disease (ADPKD)", Korean J Med, 58, pp.75~82 (2000)
- Ryu SJ, "Intracranial hemorrhage in patients with polycystic kidney disease", Stroke, 21, pp.291~294 (1990)
- Rivera M, "Stroke in adult polycystic kidney disease", Postgrad Med J, 68, pp.735~738 (1992)
- Ravine D, "Evaluation of ultrasonographic diagnostic criteria for autosomal dominant polycystic kidney disease 1", Lancet, 343, pp.824~827 (1994)
- Fick GM, "Causes of death in autosomal dominant polycystic kidney disease", J Am Soc Nephrol, 5, pp.2048~2056 (1995)
- Torres VE, "Extrarenal manifestation of automal dominat polycystic kidney disease", Am J Kidney Dis, 34, pp.45~48 (1999)
- Kocaman O, "Endothelial dysfunction and increased carotid intima-media thickness in patients with autosomal dominant polycystic kidney disease", Am J Kidney Dis, 43, pp.854~860 (2004)
- Prack JB, "Moyamoya disease associated with polycystic kidney disease and eosinophilic granuloma", Stroke, 20, pp.1092~1094 (1989)
- 한선정, "한림 뇌졸중 등록 자료에서 후방 순환계 뇌졸중의 임상양상", 대한뇌졸중학회지, 5(2), pp.123~128 (2003), 대한뇌졸중학회
- Garg RK, "Posterior leukoencephalopathy syndrome", Postgrad Med J, 77, pp.24~28 (2001)