유전출혈모세혈관확장증과 난원공개존증을 동시에 가지고 있는 환자에서의 후대뇌동맥경색증
Posterior Cerebral Artery Infarction in a Patient with Coexisting Hereditary Hemorrhagic Telangiectasia and Patent Foramen Ovale
이한상(서울대학교); 이응준(서울대학교병원); 김률(서울대학교 의과대학 서울대학교병원 신경과); 전진선(서울대학교(연건캠퍼스)); 이우진(서울대학교); 이용석(서울대학교)
33권 3호, 217~220쪽
초록
Patients with hereditary hemorrhagic telangiectasia (HHT) are at risk of developing pulmonary arteriovenous malformations (pAVMs). Paradoxical embolism may occur through pAVMs or patent foramen ovale (PFO) and lead to cerebral infarction. We present a case of cerebral infarction with both pAVM associated with HHT and PFO. Evidence of a right-to-left shunt can suggest other treatment options for stroke prevention, and patients without evidence of conventional stroke etiologies require a thorough evaluation.
Abstract
Patients with hereditary hemorrhagic telangiectasia (HHT) are at risk of developing pulmonary arteriovenous malformations (pAVMs). Paradoxical embolism may occur through pAVMs or patent foramen ovale (PFO) and lead to cerebral infarction. We present a case of cerebral infarction with both pAVM associated with HHT and PFO. Evidence of a right-to-left shunt can suggest other treatment options for stroke prevention, and patients without evidence of conventional stroke etiologies require a thorough evaluation.
- 발행기관:
- 대한신경과학회
- 분류:
- 신경과학