급성 뇌교 경색의 임상연구

Other Titles
A Clinical Study of Acute Pontine Infarction
Authors
장상섭이형김지언이상도임정근김근호박영춘김태완김진석
Department
Dept. of Neurology (신경과학); Institute for Medical Science (의과학 연구소)
Issue Date
1999
Citation
Keimyung Medical Journal, Vol.18(1) : 117-125, 1999
Abstract
Background : In a pontine infarction, variable neurologic deficits present because the pons is very complicated organ including cranial nerve nuclei and several fiber tracts. It's the aim of this study to clarify the clinicotopographical correlation of isolated acute pontine infarcts. Methods : We studied 33 patients with acute pontine infarct and classified them into three subtypes on the basis of lesion location on MRI. Clinical features, angiographic findings and risk factors were compared. Results : Twelve patients had a ventromedial pontine infarcts, in which clinical findings included dysarthria (N=12), hemiparesis (N=12) and tegmental signs (N=6). Five patients had a ventrolateral pontine infarcts, in which clinical findings included vertigo (N=3), hemiparesis (N=3) and sensory disturbances (N=2). Fifteen patients had a tegmental infarcts, in which clinical findings were vertigo (N=13), eye movement disorders (N=10) such as abducence palsy; inter-nuclear opthalmoplegia, ocular bobbing, and sensory disturbance (N=4). Emboligenic heart disease (N=3/33 9.1%) and sign-ificant stenosis of vertebro-basilar artery (3/16 18.7%) were observed. Summary: Corresponding to territories of intrinsic pontine vessels, isolated pontine infarcts could be classified into three main syndromes. Isolated pontine infarcts were usually due to thrombosis of per-forating arteries, but large artery stenosis and cardioembolism also could be causes of isolated pontirie infarcts.
Keywords
Pontine infarctionPontine infarctionThrombosis
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15129
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. Journal Papers (연구논문) > 3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
2. Keimyung Medical Journal (계명의대 학술지) > 1999
Keimyung Author(s)
이형; 김지언; 임정근; 이상도; 박영춘
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