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혈관경련수축 치료 후 대뇌 동맥류 크기 감소: 증례 보고

Size Reduction of an Intracranial Aneurysm after Resolution of Vasospasm: A Case Report

  • 신가혜 (한양대학교 의과대학 한양대학교병원 영상의학과) ;
  • 이지영 (한양대학교 의과대학 한양대학교병원 영상의학과) ;
  • 이영준 (한양대학교 의과대학 한양대학교병원 영상의학과) ;
  • 박동우 (한양대학교 의과대학 구리병원 영상의학과) ;
  • 김영서 (한양대학교 의과대학 한양대학교병원 신경과) ;
  • 김현영 (한양대학교 의과대학 한양대학교병원 신경과) ;
  • 이형중 (한양대학교 의과대학 한양대학교병원 신경외과)
  • Shin, Ga Hye (Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine) ;
  • Lee, Ji Young (Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine) ;
  • Lee, Young-Jun (Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine) ;
  • Park, Dong Woo (Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Kim, Young Seo (Department of Neurology, Hanyang University Hospital, Hanyang University College of Medicine) ;
  • Kim, Hyun Young (Department of Neurology, Hanyang University Hospital, Hanyang University College of Medicine) ;
  • Yi, Hyeong-Joong (Department of Neurosurgery, Hanyang University Hospital, Hanyang University College of Medicine)
  • 투고 : 2017.06.05
  • 심사 : 2017.09.12
  • 발행 : 2018.03.01

초록

지주막하출혈 후 발생한 혈관경련수축은 대뇌 혈류역학 변화를 초래할 수 있다. 우리는 지주막하출혈과 동반된 혈관경련 수축이 치료된 후 크기 감소를 보였던 비파열성 뇌동맥류의 증례를 보고한다. 혈관경련수축으로 인한 혈류역학 변화 또는 자연적인 혈전발생이 대뇌동맥류의 크기 변화를 초래했을 것으로 생각된다.

Vasospasm after subarachnoid hemorrhage may alter intracranial hemodynamics. We report a case which showed significant size reduction of an unruptured intracranial aneurysm after resolution of vasospasm. This case may suggest that aneurysm size can be affected by vasospasm, which is presumably related to changes in hemodynamics or spontaneous thrombosis.

키워드

참고문헌

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