조직화한 팽창성 자발성 뇌실질내 혈종

Organized Expanding Spontaneous Intracerebral Hematoma

저자들은 $1{\frac{1}{2}}$개월된 남아에서 vitamin K 의존인자 결핍으로 인한 뇌출혈 3주일후, 뇌혈관 기형에서 재차 출혈하여, 조직화한 팽창성 자발성 뇌실질내 혈종을 야기시킨 1예를 경험하고 문헌고찰과 함께 보고하는 바이다.

The authors report a case of massive spontaneous intracerebral hematoma in a infant, caused by bleeding from cryptic vascular malformation associated with vitamin K dependant factor deficiency. The bleeding was initiated by vitamin K dependant factor deficiency, then 3 weeks later hematoma was expanded by rebleeding from malformed vessel after PT and PTT had been returned to normal values. The well circumscribed organized old hematoma with fresh expanded bleeding component within a huge rusty colored cystic fluid cavity was recognized in operative field and pathological ground.