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급성 심근염을 치료중이던 영아에서 발생한 뇌경색 - 증례 보고 -

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Affiliated Author(s)
김여향
Alternative Author(s)
Kim, Yeo Hyang
Journal Title
대한중환자의학회지
ISSN
1229-4802
Issued Date
2013
Keyword
InfantMyocarditisStroke
Abstract
A 9-month-old infant presented with cough, tachypnea, and grunting was admitted. The patient was revealed to
have cardiomegaly, high NT-proBNP, and severe left ventricular dilation and dysfunction; she was subsequently diagnosed
with acute myocarditis and congestive heart failure. Intravenous immunoglobulin, inotropics, diuretics, angiotensin
converting enzyme inhibitors and beta blocker were used. However, left hemiparesis suddenly developed at
30-day after treatment. Brain MRI showed high signal intensity in the right middle cerebral arterial territory on diffusion
weighted brain MRI and in the left parietal lobe with gyral enhancement. Echocardiogram revealed no definite
intraventricular thrombus. The patient was started on an antiplatelet agent only without anticoagulant therapy for
the treatment of cerebral infarct in respect of the risk to the infant. Four years after the cerebral ischemic stroke
(CIS), she showed complete recovery from hemiparesis, with no more CIS. In conclusion, severe ventricular dilatation
and dysfunction can lead to thromboembolic events in infants. We should keep in mind that anticoagulant or
antiplatelet agents can be used in specific situations.
Alternative Title
Cerebral Ischemic Stroke in an Infant with Acute Myocarditis
- A Case Report -
Department
Dept. of Pediatrics (소아청소년학)
Publisher
School of Medicine
Citation
이가현 and 김여향. (2013). 급성 심근염을 치료중이던 영아에서 발생한 뇌경색
- 증례 보고 -. 대한중환자의학회지, 28(2), 119–122. doi: 10.4266/kjccm.2013.28.2.119
Type
Article
ISSN
1229-4802
DOI
10.4266/kjccm.2013.28.2.119
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39628
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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