지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 138 - 141 (4page)
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초록· 키워드
오류제보하기
A 50-year-old man with liver cirrhosis and esophageal varix for 3 years was diagnosed with hematemesis and treated for a bleeding varix. However, bleeding recurred 11 days later, and he developed drowsiness with left hemiparesis. His left upper and lower extremity muscle strengths based on the manual muscle test at the onset were grade 2/5 and 1/5, respectively. The Babinski sign was positive. His serum ammonia level was elevated to 129.9 μg/dL (normal, 20–80 μg/dL). Magnetic resonance imaging revealed restriction on diffusion and T2-hyperintensities with decreased apparent diffusion coefficient values in the bilateral frontoparietooccipital cortex. The effect was more severe in the right hemisphere and right parietooccipital cortices, which were compatible with hepatic encephalopathy. Although the patient’s mental status recovered, significant left-sided weakness and sensory deficit persisted even after 6 months. Diffusion tensor tractography (DTT) performed 3 months post-onset showed decreased volume of the right corticospinal tract. We reported a patient with hepatic encephalopathy involving the corticospinal tract by DTT.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Atchison JW / 1992 / Hepatic encephalopathy mimicking stroke: a case report / Am J Phys Med Rehabil 71 : 114 ~ 118
Bathla G / 2013 / MRI and CT appearances in metabolic encephalopathies due to systemic diseases in adults / Clin Radiol 68 : 545 ~ 554
Chen HJ / 2013 / Brain dysfunction primarily related to previous overt hepatic encephalopathy compared with minimal hepatic encephalopathy: resting-state functional MR imagin
Cordoba J. / 2011 / New assessment of hepatic encephalopathy / J Hepatol 54 : 1030 ~ 1040
Kale RA / 2006 / Demonstration of interstitial cerebral edema with diffusion tensor MR imaging in type C hepatic encephalopathy / Hepatology 43 : 698 ~ 706
Bathla G / 2013 / MRI and CT appearances in metabolic encephalopathies due to systemic diseases in adults / Clin Radiol 68 : 545 ~ 554
Chen HJ / 2013 / Brain dysfunction primarily related to previous overt hepatic encephalopathy compared with minimal hepatic encephalopathy: resting-state functional MR imagin
Cordoba J. / 2011 / New assessment of hepatic encephalopathy / J Hepatol 54 : 1030 ~ 1040
Kale RA / 2006 / Demonstration of interstitial cerebral edema with diffusion tensor MR imaging in type C hepatic encephalopathy / Hepatology 43 : 698 ~ 706
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