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종결 Case No. 518 2019-06-01~2019-06-30
출제자 : 이경식 Hit : 280
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Period 2019-06-01~2019-06-30
Diagnosis Cerebral proliferative angiopathy
Gender
  • M
  •  
  • F
Age 28
Clinical information 28세 남자.
고등학생 때부터 반복되는 seizure로 시행한 Brain MRI 및 혈관조영술이다.
진단은?
Discussion Cerebral proliferative angiopathy
 Previously known as diffuse nidus type AVM
 Present in an estimated 2%–4% of all brain AVMs
 Disease entity separate from classic brain AVM
 Female predilection of 2:1
 A rather young mean patient age (20 years)
 etiology - unknown
 The disease is characterized by endothelial proliferation and angiogenesis.
 The “nidus” is composed of multiple arteries as an angiogenetic response to cortical ischemia

 MR and CT findings
 Normal brain parenchyma is interspersed between the abnormal vessels.
 Often, an entire lobe or even brain hemisphere is affected
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