A Case of Hemorrhagic Cerebral Infarction in Ulcerative Colitis |
Eun Jung Choi, Byung Ik Jang, Kyung Ae Chang, Sang Hun Lee, Yong Kil Kim, Kyeong Ok Kim, Si Hyung Lee, Seok Jin Yoon |
Department of Internal Medicine, Yeungnam University College of Medicine, Kyungpook National University College of Medicine, Daegu, Korea
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궤양성 대장염 환자에서 발생한 뇌출혈을 동반한 급성 뇌경색증 1예 |
최은정, 장병익, 장경애, 이상훈, 김용길, 김경옥, 이시형, 윤석진 |
영남대학교 의과대학 내과학교실, 경북대학교 의학전문대학원 내과학교실 |
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Abstract |
Ulcerative colitis is associated with a number of extraintestinal complications, including the infrequent occurrence of thromboembolic disease. Cerebral venous thrombosis is an extremely rare and fatal complication of ulcerative colitis. A 38-year-old woman presented with sluggish mentation and left hemiplegia. Ulcerative colitis had been diagnosed 3 years earlier by colonoscopy and biopsy, and had been controlled with a mesalazine. On admission, a brain computed tomography revealed a high density area in the right frontal lobe, and T2-weighted magnetic resonance imaging demonstrated an abnormal signal in the right frontal area, suggestive of a hemorrhagic cerebral infarction. She was managed with a decompressive craniectomy and conventional treatment for ulcerative colitis. (Intest Res 2009;7:52-55) |
Key Words:
Colitis, Ulcerative, Cerebral Infarction, Thrombosis |
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