한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제23권2호
  • /
  • Pages.96-101
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  • 2006
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

개에서 컴퓨터단층촬영술과 자기공명영상을 이용한 창상성 두개관내 출혈의 평가

Evaluation of Traumatic Intracranial Hemorrhage Using Computed Tomography and Magnetic Resonance Imaging in Four Dogs

  • Choi Ho-Jung (College of Veterinary Medicine, Chungnam National University) ;
  • Lee Ki-Ja (College of Veterinary Medicine, Chungnam National University) ;
  • Kang Sang-Kyu (College of Veterinary Medicine, Chungnam National University) ;
  • Lee Hee-Chun (College of Veterinary Medicine, Gyeongsang National University) ;
  • Chang Dong-Woo (College of Veterinary Medicine, Chungbuk National University) ;
  • Lee Ki-Chang (College of Veterinary Medicine, Chonbuk National University) ;
  • Jeong Seong-Mok (College of Veterinary Medicine, Chungnam National University) ;
  • Cho Sung-Whan (College of Veterinary Medicine, Chungnam National University) ;
  • Lee Young-Won (College of Veterinary Medicine, Chungnam National University)
  • 발행 : 2006.06.01
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초록

두개 창상에 의해 신경증상을 나타내는 4 마리의 환자가 내원하여 일반 방사선 검사 및 컴퓨터단층촬영술(CT)과 자기공명영상(MRI)을 실시하였다. 일반 방사선 사진에서는 내원한 4 마리의 개에서 모두 특이소견을 관찰할 수 없었다. 3마리 개에서 실시한 CT 결과, 3마리 중 2마리의 환자에서 전두엽 부위에 고밀도로 나타나는 병변을 확인할 수 있었으나 소뇌 부위의 병변은 관찰되지 않았다. 이어서 실시한 MRI 검사 결과, 일부의 환자에서는 T1-강조영상에서 저신호로 나타나고 T2-강조영상에서 고신호로 나타나거나 T1-강조영상과 T2-강조영상에서 각각 등신호, 고신호로 나타나는 병변을 확인할 수 있었다. 병변 부위는 좌측과 우측 대뇌 부위, 소뇌전정 부위, 경막하 부위로 다양했다. 이들 환자는 내과적 치료를 실시한 후, 임상적으로 호전되었음을 확인하고 일부 환자는 MRI를 통해 추적검사를 하였다.

Four dogs with neurologic dysfunction resulted from intracranial hemorrhage by head trauma were referred to Veterinary Medical Teaching Hospital, Chungnam National University. There were no remarkable findings in survey radiography in four cases. CT and MRI scans were diagnostic in these cases. Three dogs underwent CT scanning. On CT images, the lesion was hyperdense and was not enhanced after intravenous contrast administration in dog 1 and dog 2. On CT of dog 4, there was no significant finding. All of four dogs were verified by dorsal, sagittal, and transverse T1-weighted (T1W) and T2-weighted (T2W) images. Appearance of the lesions in dog 1 and dog 2 was isointense (dog 2) or isointense with hyperintense rim (dog 1) on T1W images and hyperintense on T2W images. In dog 3 and dog 4, there were hypointense and hyperintense lesions on T1Wand T2W images respectively. The lesions in four dogs were located in the left intracerebral region, intracerebral and cerebellovestibular region, subdural space, and right cerebral hemisphere, respectively.

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