의미치매 환자에서 관찰된 경막하혈종 2예

Subdural Hematoma in Two Patients with Semantic Dementia

  • Yoon, Soo-Jin (Department of Neurology, Eulji University College of Medicine) ;
  • Kim, Young-Ah (Department of Neurology, Eulji University College of Medicine) ;
  • Lee, Jeong-Eun (Department of Neurology, Eulji University College of Medicine)
  • 발행 : 2010.09.30

초록

Semantic dementia shows asymmetric atrophy of the anterior temporal cortex and present loosing semantic knowledge. We report 2 cases of semantic dementia with subdural hematoma without a history of trauma, vascular malformation, coagulopathy or medical anticoagulation, even headache. As the brain shrinks, the subdural space enlarges, making bridging veins more vulnerable to tears. Focal brain atrophy is associated with not only the first clinical manifestation of degenerative dementia but also a cause of subdural hematoma or the site of hemorrhage.

키워드

참고문헌

  1. Seeley WW, Bauer AM, Miller BL, Gorno-Tempini ML, Kramer JH, Weiner M, et al. The natural history of temporal variant frontotemporal dementia. Neurology 2005; 64: 1384-90 https://doi.org/10.1212/01.WNL.0000158425.46019.5C
  2. Mokri B. The Monro-Kellie hypothesis Applications in CSF volume depletion. Neurology 2001; 56: 1746-8 https://doi.org/10.1212/WNL.56.12.1746
  3. Akioka N, Fukuda O, Takaba M, Kameda H, Saito T, Endo S. Clinical investigation of acute spontaneous subdural hematoma cases. J Stroke Cerebrovasc Dis 2007; 16: 109-13 https://doi.org/10.1016/j.jstrokecerebrovasdis.2006.11.007
  4. Chen JC, Levy ML. Causes, epidemiology, and risk factors of chronic subdural hematoma. Neurosurgery clinics of North America 2000; 11: 399-406
  5. Karnath B. Subdural hematoma. Presentation and management in older adults. Geriatrics 2004; 59: 18-23
  6. Yagi T, Suzuki T, Nagata Y, Naruse H, Nakagawa O. The cases of acute spontaneous subdural hematoma. No Shinkei Geka 1996; 24: 665-9
  7. Manjunath BR. Computed tomography or not? A case report of an acute subdural hematoma without any external head injury in an elderly patient of advanced dementia. J Am Geriatr Soc 2008; 56: 378-9