๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #4

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Male
์ง€์‹œ์‚ฌํ•ญ: ๋‹จ๊ธฐ ๊ธฐ์–ต ์ƒ์‹ค

์ฆ๋ก€ #4

๊ฒฐ๊ณผ

  • ์ œํ•œ ํ™•์‚ฐ์˜ ํ…Œ๋‘๋ฆฌ์™€ ์ฃผ๋ณ€๋ถ€ ๋ณด์ „์„ ๋™๋ฐ˜ํ•œ ๊ต๋‡Œ ์ค‘์‹ฌ๋ถ€์˜ T2/FLAIR ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„
  • ์ค‘๋‡Œ์ˆ˜๋„๊ด€ ์ฃผ์œ„ ํšŒ์ƒ‰์งˆ, ๋‚ด์ธก ์‹œ์ƒ, ์‹œ์ƒํ•˜๋ถ€์˜ ํฌ๋ฏธํ•œ T2/FLAIR ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ์˜์—ญ
  • ๊ธ‰์„ฑ ์ถœํ˜ˆ, ์ข…๊ดด ํšจ๊ณผ, ๋˜๋Š” ์ˆ˜๋‘์ฆ์˜ ์ฆ๊ฑฐ ์—†์Œ
  • ์•ก์ฒด๋ฉด ์—†๋Š” ๋ถ€๋น„๋™์˜ ๊ฒฝ๋ฏธํ•œ ์ ๋ง‰ ๋น„ํ›„
  • ์ „์œ„๋œ ์šฐ์ธก ํ•˜์•…๊ณผ ๊ณจ์ ˆ (์กฐ์˜ ํ›„ ์ถ•์ƒ ์‹œ๋ฆฌ์ฆˆ์—์„œ ๊ฐ€์žฅ ์ž˜ ๊ด€์ฐฐ๋จ)

์ง„๋‹จ

์‚ผํˆฌ์„ฑ ํƒˆ์ˆ˜์ดˆํ™”

Wernicke ๋‡Œ๋ณ‘์ฆ ์˜์‹ฌ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์‚ผํˆฌ์„ฑ ํƒˆ์ˆ˜์ดˆ ์ฆํ›„๊ตฐ์ด ์šฐ๋ ค๋˜๋Š” ๊ต๋‡Œ ์ค‘์‹ฌ๋ถ€์˜ T2/FLAIR ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„. ํ˜ˆ์ฒญ ๋‚˜ํŠธ๋ฅจ ์ธก์ •๊ณผ์˜ ์ƒ๊ด€๊ด€๊ณ„ ํ™•์ธ ๊ถŒ์žฅ.

์ค‘๋‡Œ์ˆ˜๋„๊ด€ ์ฃผ์œ„ ํšŒ์ƒ‰์งˆ, ๋‚ด์ธก ์‹œ์ƒ, ์‹œ์ƒํ•˜๋ถ€์˜ ํฌ๋ฏธํ•œ T2/FLAIR ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ์˜์—ญ์œผ๋กœ Wernicke ๋‡Œ๋ณ‘์ฆ์—์„œ ๊ด€์ฐฐ๋  ์ˆ˜ ์žˆ๋Š” ์†Œ๊ฒฌ.

๊ธ‰์„ฑ ์ถœํ˜ˆ, ์ข…๊ดด ํšจ๊ณผ, ๋˜๋Š” ์ˆ˜๋‘์ฆ์˜ ์ฆ๊ฑฐ ์—†์Œ.

์ „์œ„๋œ ์šฐ์ธก ํ•˜์•…๊ณผ ๊ณจ์ ˆ. ์ด์ „์— ํ‰๊ฐ€๋˜์ง€ ์•Š์•˜๋‹ค๋ฉด ์ถ”๊ฐ€ ํ‰๊ฐ€๋ฅผ ์œ„ํ•ด ์ „์šฉ ์•ˆ๋ฉด CT ๊ณ ๋ ค.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Howard SA, Barletta JA, Klufas RA, Saad A, De Girolami U. Best cases from the AFIP: osmotic demyelination syndrome. Radiographics 2009; 29: 933-938.
  • Lopez Bernus A, Muรฑoz-Galindo A, Moreirobarroso MT, Velasco-Tirado V, Carpio-Perez A, Belhassen-Garcia M. Wernicke encephalopathy and central pontine myelinolysis: an underdiagnosed combination in alcoholics. Journal of Neurological Sciencesย 2015; 32(2): 418-423.
  • Zuccoli G,ย Pipitone N.ย Neuroimaging findings in acute Wernickeโ€™s encephalopathy: review of the literature. AJR Am J Roentgenolย 2009;ย 192:ย 501-508.

    • ์‚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.