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젊은 남자 골프 선수의 뇌경색증을 유발한 섬유근이형성증 − 증례 보고 −

Fibromuscular Dysplasia with Cerebral Infarction in A Young Male Professional Golfer − A case report −

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주제분류재활의학

초록

Stroke in young adults is uncommon and may require extensive evaluation to elucidate an underlying cause. A 21- year-old male professional golfer experienced left side weakness, dysarthria, headache during golfing. Magnetic resonance imaging (MRI) revealed broad ischemia on right basal ganglia, frontal and temporal lobes. Magnetic resonance angiography (MRA) and 4-vessel angiography revealed beading of right intracranial internal carotid and middle cerebral arteries which suggests fibromuscular dysplasia. We report a case of intracranial fibromuscular dysplasia without renal involvement resulting in cerebral infarction in young male professional golfer.

Abstract

Stroke in young adults is uncommon and may require extensive evaluation to elucidate an underlying cause. A 21- year-old male professional golfer experienced left side weakness, dysarthria, headache during golfing. Magnetic resonance imaging (MRI) revealed broad ischemia on right basal ganglia, frontal and temporal lobes. Magnetic resonance angiography (MRA) and 4-vessel angiography revealed beading of right intracranial internal carotid and middle cerebral arteries which suggests fibromuscular dysplasia. We report a case of intracranial fibromuscular dysplasia without renal involvement resulting in cerebral infarction in young male professional golfer.

참고문헌 (10)

  1. Young Kwan Bae, "Fibromuscular Dysplasia with Cerebral Infarction in a Child - Case Report -", 대한신경외과학회지, 34(1), pp.68~71 (2003), 대한신경외과학회
  2. Chiu NC, "Intracranial fibromuscular dysplasia in a 5-year-old child", Pediatr Neurol, 14, pp.262~264 (1996)
  3. Plouin PF, "Fibromuscular dysplasia", Orphanet J Rare Dis, 2, pp.28~ (2007)
  4. Ozdil M, "A rare cause of ischemic stroke: fibromuscular dysplasia", Neurol Sci, 30, pp.77~79 (2009)
  5. Jun DW, "A case of fibromuscular dysplasia of the extracranial internal carotid artery", J Korean Neurosurg Soc, 6, pp.507~512 (1977)
  6. Emparanza JI, "Ischemic stroke due to fibromuscular dysplasia", Neuropediatrics, 20, pp.181~182 (1989)
  7. Zurin AA, "Childhood ischemic stroke caused by fibromuscular dysplasia of the intracranial artery-case report", Neurol Med Chir (Tokyo), 37, pp.542~545 (1997)
  8. Hasso AN, "Fibromuscular dysplasia of the internal carotid artery: percutaneous transluminal angioplasty", AJR Am J Roentgenol, 136, pp.955~960 (1981)
  9. Malloy DS, "Cerebral infarction secondary to unsuspected intracranial fibromuscular dysplasia following bypass of aortic coarctation", Stroke, 15, pp.908~911 (1984)
  10. Choi KD, "Golfer's stroke from internal carotid artery dissection", Arch Neurol, 65, pp.1122~1123 (2008)

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