๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #1
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์ ์‘์ฆ: ๋ฌด๋ฐ˜์‘

์ฆ๋ก€ #1

์†Œ๊ฒฌ

์ง„๋‹จ

๊ธ‰์„ฑ ์ขŒ์ธก ACA ๋ฐ MCA ์˜์—ญ ๊ฒฝ์ƒ‰

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์ขŒ์ธก ๋Œ€๋‡Œ ๋ฐ˜๊ตฌ์˜ ACA ๋ฐ MCA ์˜์—ญ์„ ์นจ๋ฒ”ํ•˜๋Š” ํšŒ๋ฐฑ์งˆ-๋ฐฑ์งˆ ๋ถ„ํ™” ์†Œ์‹ค์„ ๋™๋ฐ˜ํ•œ ๋ฏธ๋งŒ์„ฑ, ์œตํ•ฉ์„ฑ ์ €์Œ์˜์œผ๋กœ ๊ธ‰์„ฑ/์กฐ๊ธฐ ์•„๊ธ‰์„ฑ ๊ฒฝ์ƒ‰์ด ์˜์‹ฌ๋จ. ์ขŒ์ธก MCA ๋ฐ ACA์˜ ๋น„๋Œ€์นญ์  ๊ณ ์Œ์˜์€ ํ˜ˆ์ „์ฆ์ด ์šฐ๋ ค๋จ. ์ถ”๊ฐ€ ํ‰๊ฐ€๋ฅผ ์œ„ํ•œ ๋‘๋ถ€ CTA ๋ฐ ๋‡Œ MRI๋ฅผ ๊ถŒ๊ณ ํ•จ.

์ถœํ˜ˆ์„ฑ ๋ณ€ํ™˜์˜ ์ฆ๊ฑฐ ์—†์Œ.

์„ธํฌ๋…์„ฑ ๋ถ€์ข…์— ๋™๋ฐ˜๋œ ์ขŒ์ธก ๋ฐ˜๊ตฌ์˜ ๋‡Œ๊ตฌ ์••๋ฐฐ, 3 mm์˜ ์ขŒ์ธก-์šฐ์ธก ์ •์ค‘์„  ํŽธ์œ„ ๋ฐ ์ขŒ์ธก ์ธก๋‡Œ์‹ค์˜ ๊ฒฝ๋„ ํ˜‘์ฐฉ. ๊ธฐ์ €์กฐ๋Š” ๊ฐœ๋ฐฉ๋˜์–ด ์žˆ์œผ๋ฉฐ ํƒˆ์ถœ์˜ ์ฆ๊ฑฐ ์—†์Œ.

๊ณ ์ฐฐ

  • ๋‡Œ๋Š” ํ•ญ์ƒ ์ข์€ ("๋‡Œ์กธ์ค‘") ์ฐฝ ์„ค์ •์œผ๋กœ ๊ด€์ฐฐํ•  ๊ฒƒ
  • ๊ณ ๋ฐ€๋„ ํ˜ˆ๊ด€ ์ง•ํ›„๋Š” ๋‡Œ์กธ์ค‘์—์„œ ์ฆ‰๊ฐ์ ์œผ๋กœ ๋‚˜ํƒ€๋‚˜๋Š” ์†Œ๊ฒฌ์œผ๋กœ, CT์—์„œ ์„ธํฌ๋…์„ฑ ๋ถ€์ข…์ด ๋‚˜ํƒ€๋‚˜๊ธฐ ์ˆ˜ ์‹œ๊ฐ„ ์ „์— ๊ด€์ฐฐ๋จ. ๊ณ ๋ฐ€๋„ ํ˜ˆ๊ด€ ์ง•ํ›„๋Š” ์†Œ์ˆ˜์˜ ์ฆ๋ก€์—์„œ๋งŒ ๊ด€์ฐฐ๋˜์ง€๋งŒ, ํ™˜์ž๊ฐ€ ๊ธ‰์„ฑ ๋‡Œ์กธ์ค‘์„ ๊ฒช๊ณ  ์žˆ๋‹ค๋Š” ์œ ์ผํ•œ ๋‹จ์„œ์ผ ์ˆ˜ ์žˆ๊ธฐ ๋•Œ๋ฌธ์— ์ด๋ฅผ ์ฐพ๋Š” ๊ฒƒ์ด ์ค‘์š”ํ•จ. ๊ทธ๋Ÿฌ๋‚˜ ๋งŽ์€ ๊ธฐ์ˆ ์  ์š”์ธ (์˜ˆ: ๋น” ๊ฒฝํ™” ํ—ˆ์ƒ)์ด ์œ ์‚ฌ-๊ณ ๋ฐ€๋„ ํ˜ˆ๊ด€ ์–‘์ƒ์„ ๋งŒ๋“ค ์ˆ˜ ์žˆ์œผ๋ฏ€๋กœ, ๊ณ ๋ฐ€๋„ ํ˜ˆ๊ด€ ์ง•ํ›„๋ฅผ ์˜์‹ฌํ•˜๊ธฐ ์ „์— ์ž„์ƒ ์ƒํ™ฉ์„ ๊ณ ๋ คํ•˜๋Š” ๊ฒƒ์ด ์ค‘์š”ํ•จ.

์ฃผ์„์ด ์žˆ๋Š” ์ด๋ฏธ์ง€ ๋ฐ ์ผ๋Ÿฌ์ŠคํŠธ

Asymmetrically hyperattenuating appearance of the proximal left ACA (red arrow) and MCA (yellow arrow) concerning for thrombosis

Asymmetrically hyperattenuating appearance of the proximal left ACA (red arrow) and MCA (yellow arrow) concerning for thrombosis

Representative diffusion-weighted MR image from this patient

Representative diffusion-weighted MR image from this patient

Cross-sectional arterial territories of the brain.

Cross-sectional arterial territories of the brain.

๊ด€๋ จ ๋™์˜์ƒ

๋น„๋””์˜ค ์ธ๋„ค์ผ

Ischemia on Head CT

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์ฐธ๊ณ ๋ฌธํ—Œ

  • Srinivasan A, Goyal M, Al Azri F, et al. State-of-the-art imaging of acute stroke. Radiographics 2006;26:S75โ€“S95.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

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