Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Venous Sinus Thrombosis in the Hypoglossal Canal Mimics a Neurogenic Tumor in a Patient with Presumed Idiopathic Intracranial Hypertension: A Case Report

특발 두개내압상승 소견을 보인 환자에게서 설하신경관의 신경 원성 종양으로 오인되었던 정맥동 혈전의 케이스: 증례 보고

  • Kiok Jin (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Ji Eun Park (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Jeong Hyun Lee (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
  • 진기옥 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 박지은 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 이정현 (울산대학교 의과대학 서울아산병원 영상의학과)
  • Received : 2021.10.20
  • Accepted : 2022.05.27
  • Published : 2022.09.01
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Abstract

Presumed idiopathic intracranial hypertension (IIH) is a disorder of elevated intracranial pressure with unknown etiology, and 10% of cases occur secondarily to cerebral venous sinus thrombosis (CVST). CVST may be underestimated when findings of IIH are missed in a normal-weight patient without risk factors of coagulopathy. Here, we present a case of CVST that mimics a neurogenic tumor in the hypoglossal canal in a normal-weight patient without risk factors of coagulopathy.

특발 두개내압상승은 특별한 기질적 원인 없이 두개 내압의 증가가 생기는 증후군으로 이 질환의 약 10%에서 두개내 정맥동의 혈전 형성이 생길 수 있다고 알려져 있다. 체중이 정상 범위이며 응고 장애가 없는 특발 두개내압상승 환자에게서 정맥동의 혈전 형성은 간과될 수 있다. 본 증례 보고에서는 특별한 위험인자가 없던 환자에게서 설하신경관의 신경 원성 종양으로 오인되었던 정맥동 혈전의 케이스를 소개하고, 두개 내압상승의 다양한 영상 소견에 대해 고찰하고자 한다.

Keywords

References

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