๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #34

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Male
์ง€์‹œ์‚ฌํ•ญ: ๊ฒฝ๋ จ (38์ฃผ์— ์ถœ์ƒ)

์ฆ๋ก€ #34

๊ฒฐ๊ณผ

  • ์–‘์ธก ๋‡Œ์‹ค ์ฃผ์œ„ ๋ฐฑ์งˆ์˜ ๋‹ค๋ฐœ์„ฑ ์žํ™”์œจ ์ธ๊ณต๋ฌผ ์˜์—ญ๊ณผ ํ•จ๊ป˜ ์šฐ์ธก์ด ์ขŒ์ธก๋ณด๋‹ค ์‹ฌํ•œ ์ธก๋‡Œ์‹ค ๋‚ด ๊ด‘๋ฒ”์œ„ํ•œ T1 ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ๋ฐ ์žํ™”์œจ ์ธ๊ณต๋ฌผ
  • ์ขŒ์ธก ๋‘์ •ํ›„๋‘๋ถ€ ๊ถ์œต๋ถ€ ๋ฐ ํ›„๋‘๊ฐœ์™€์˜ ์†Œ T1 ๊ณ ์‹ ํ˜ธ ๊ฒฝ๋ง‰ํ•˜ ์ €๋ฅ˜
  • ์šฐ์ธก ๋Œ€๋‡Œ ๋ฐ˜๊ตฌ์˜ ์ข…๊ดด ํšจ๊ณผ๋กœ ํƒˆ์ถœ ์ฆ๊ฑฐ ์—†์ด 4 mm ์šฐ-์ขŒ ์ •์ค‘์„  ํŽธ์œ„
  • ๋‡Œ์‹ค ์ฃผ์œ„ T2/FLAIR ๊ณ ์‹ ํ˜ธ๊ฐ•๋„๋ฅผ ๋™๋ฐ˜ํ•œ ์šฐ์ธก์ด ์ขŒ์ธก๋ณด๋‹ค ์‹ฌํ•œ ์ธก๋‡Œ์‹ค ํ™•์žฅ
  • ์ผ๋ถ€ ์˜์—ญ์—์„œ T1 ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ๋ฐ ์žํ™”์œจ ์ธ๊ณต๋ฌผ์„ ๋™๋ฐ˜ํ•œ ์–‘์ธก ์ „๋ฐฉ ๋ถ„์ˆ˜๊ณ„ ์˜์—ญ์˜ ๋‹ค๋ฐœ์„ฑ ํ™•์‚ฐ ์ œํ•œ
  • ์–‘์ธก ๋‚ดํฌ ํ›„๊ฐ ๋ฐ ๋‡Œ๋Ÿ‰ ํŒฝ๋Œ€๋ถ€๋ฅผ ์นจ๋ฒ”ํ•˜๋Š” ์ถ”๊ฐ€์ ์ธ ํ™•์‚ฐ ์ œํ•œ ์˜์—ญ
  • ๋ชจ์ƒ๊ฑด๋ง‰ ํ‘œ์ธต์˜ ๋‘ํ”ผ ํ˜ˆ์ข…

์ง„๋‹จ

์‹ ์ƒ์•„ ๋‡Œ์‹ค๋‚ด ์ถœํ˜ˆ(IVH), ๊ฒฝ์ƒ‰ ๋ฐ ๊ฒฝ๋ จ

์‚ฐ๋ฅ˜

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์–‘์ธก ๋‡Œ์‹ค ์ฃผ์œ„ ๋ฐฑ์งˆ์˜ ๋‹ค๋ฐœ์„ฑ ์†Œ ์‹ค์งˆ ํ˜ˆ์ข…๊ณผ ํ•จ๊ป˜ ์šฐ์ธก์ด ์ขŒ์ธก๋ณด๋‹ค ์‹ฌํ•œ ์ธก๋‡Œ์‹ค ๋‚ด ๊ด‘๋ฒ”์œ„ํ•œ ๋‡Œ์‹ค๋‚ด ์ถœํ˜ˆ. ๋‡Œ์‹ค ์ฃผ์œ„ ๊ฒฝ๋ง‰๊ด€ํ†ต ๋ถ€์ข…(transependymal edema)์„ ๋™๋ฐ˜ํ•œ ์šฐ์ธก์ด ์ขŒ์ธก๋ณด๋‹ค ์‹ฌํ•œ ์ธก๋‡Œ์‹ค ํ™•์žฅ๊ณผ ๊ด€๋ จ๋œ ์ˆ˜๋‘์ฆ. ๋˜ํ•œ, ์šฐ์ธก ๋Œ€๋‡Œ ๋ฐ˜๊ตฌ์˜ ์ข…๊ดด ํšจ๊ณผ๋กœ ํƒˆ์ถœ ์ฆ๊ฑฐ ์—†์ด 4 mm ์šฐ-์ขŒ ์ •์ค‘์„  ํŽธ์œ„.

์ขŒ์ธก ๋‘์ •ํ›„๋‘๋ถ€ ๊ถ์œต๋ถ€ ๋ฐ ํ›„๋‘๊ฐœ์™€์˜ ์†Œ ๊ธ‰์„ฑ ๊ฒฝ๋ง‰ํ•˜ ํ˜ˆ์ข….

์–‘์ธก ์ „๋ฐฉ ๋ถ„์ˆ˜๊ณ„ ์˜์—ญ์˜ ๋‹ค๋ฐœ์„ฑ ์†Œ ๊ธ‰์„ฑ ๊ฒฝ์ƒ‰์ด ์šฐ๋ ค๋˜๋ฉฐ, ์ผ๋ถ€๋Š” ๊ด€๋ จ ์ถœํ˜ˆ์„ ๋™๋ฐ˜ํ•ฉ๋‹ˆ๋‹ค.

์–‘์ธก ๋‚ดํฌ ํ›„๊ฐ ๋ฐ ๋‡Œ๋Ÿ‰ ํŒฝ๋Œ€๋ถ€๋ฅผ ์นจ๋ฒ”ํ•˜๋Š” ์ถ”๊ฐ€์ ์ธ ํ™•์‚ฐ ์ œํ•œ ์˜์—ญ์œผ๋กœ, ๊ฒฝ์ƒ‰๋ณด๋‹ค๋Š” ๊ฒฝ๋ จ ํ™œ๋™๊ณผ ๊ด€๋ จ๋  ๊ฐ€๋Šฅ์„ฑ์ด ๋†’์Šต๋‹ˆ๋‹ค.

์‚ฐ๋ฅ˜.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Bhat V, Bhat V. Neonatal neurosonography: A pictorial essay.ย Indian J Radiol Imagingย 2014; 24(4): 389-400.
  • Moron NF, Morriss M, Jones J, Hunter J. Lumps and bumps on the head in children: use of CT and MR imaging in solving the clinical diagnostic dilemma. Radiographics 2004; 24: 1655-1674.
  • Starkey J, Kobayashi N, Numaguchi Y, Moritani T. Cytotoxic lesions of the corpus callosum that show restricted diffusion: mechanisms, causes, and manifestations. Radiographics 2017; 37: 562-576.

    • ์‚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”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.