좌측 기저핵 경색 치료로 정맥내 혈전 용해술 후 발생한 조기 재발성 우측 기저핵 경색

• Published in: Brain & NeuroRehabilitation pp. 143 - 146
• Main Authors: 지혜민, 서지현, 원유희, 윤태식
• Format: Journal Article
• Language: Korean
• Published: 대한뇌신경재활학회 01.09.2014
• Subjects: 재활의학
• ISSN: 1976-8753; 2383-9910

A 43-year-old man with no notable medical history was admitted due to sudden onset dysarthria and right side weakness. The man was diagnosed with acute infarction of left basal ganglia (BG) and uncontrolled diabetes mellitus (DM). After 9 hours post the thrombolysis, mental change and left side weakness symptoms were newly observed, and the man was additionally diagnosed with acute infarction in right BG.The man showed symptoms of quadriplegia and was fed through nasogastric tube. He showed motor aphasia, and no signs of phonation,but showed some indications of intact cognition.After rehabilitation therapies, the man showed marginal improvement in motor function, but still lacked any meaningful changes functionally. This is the first case of symmetric bilateral BG infarction, which one-sided infarction additionally occurred within 24 hours post the treatment of contralateral infarction through thrombolysis. Also,the features observed were atypical while the patient has no previous external causes related with bilateral BG infarction. KCI Citation Count: 1