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Intestinal Research 2009;7(1):52-55.
Published online June 30, 2009.
A Case of Hemorrhagic Cerebral Infarction in Ulcerative Colitis
Eun Jung Choi, Byung Ik Jang, Kyung Ae Chang, Sang Hun Lee, Yong Kil Kim, Kyeong Ok Kim, Si Hyung Lee, Seok Jin Yoon
Department of Internal Medicine, Yeungnam University College of Medicine, Kyungpook National University College of Medicine, Daegu, Korea
궤양성 대장염 환자에서 발생한 뇌출혈을 동반한 급성 뇌경색증 1예
최은정, 장병익, 장경애, 이상훈, 김용길, 김경옥, 이시형, 윤석진
영남대학교 의과대학 내과학교실, 경북대학교 의학전문대학원 내과학교실
Abstract
Ulcerative colitis is associated with a number of extraintestinal complications, including the infrequent occurrence of thromboembolic disease. Cerebral venous thrombosis is an extremely rare and fatal complication of ulcerative colitis. A 38-year-old woman presented with sluggish mentation and left hemiplegia. Ulcerative colitis had been diagnosed 3 years earlier by colonoscopy and biopsy, and had been controlled with a mesalazine. On admission, a brain computed tomography revealed a high density area in the right frontal lobe, and T2-weighted magnetic resonance imaging demonstrated an abnormal signal in the right frontal area, suggestive of a hemorrhagic cerebral infarction. She was managed with a decompressive craniectomy and conventional treatment for ulcerative colitis. (Intest Res 2009;7:52-55)
Key Words: Colitis, Ulcerative, Cerebral Infarction, Thrombosis
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