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Case No. 384
2015-09-01~2015-09-30
출제자 : 안성준
Hit : 333
| Period | 2015-09-01~2015-09-30 |
|---|---|
| Diagnosis | Vascular parkinsonism due to Binswanger’s disease (subcortical arteriosclerotic encephalopathy) |
| Clinical information | F/67 C.C : Gait disturbance Incontinence, No resting tremor |
| Discussion | – Leukoaraiosis and multifocal old lacunar infarction in bilateral BG, thalamus – Multiple microbleeds dominantly in both deep nuclei – Suggestive of chronic hypertensive encephalopathy ( Binswanger’s disease) – Decreased FP-CIT uptake in bilateral posterior putamen – Suggestive of Vascular parkinsonism – Gait difficulty, lower body involvement, postural instability ,dementia and incontinence in elderly hypertensive individual with multiple ischemic insults in basal ganglia – No resting tremor – Extensive lesions of the periventricular white matter, the presence of lacunes (mainly in the basal ganglia), and dilatation of the lateral and third cerebral ventricles |
| Correct answer |
Correct Answer
Semi-Correct Answer |