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Case No. 571
2020-11-01~2020-11-30
출제자 : 김슬기
Hit : 566
| Period | 2020-11-01~2020-11-30 |
|---|---|
| Diagnosis | MELAS |
| Gender |
|
| Age | 46 |
| Clinical information | 46세 남자 점점 심해지는 두통, 인지기능 저하, 보행 장애를 주소로 내원. 진단은? |
| Discussion | Mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) Clinical issues - Childhood or early adulthood (before 40 yrs > 90%) - Clinical triad - Lactic acidosis - Seizures - Stroke-like episode Radiology features - Swollen T2/FLAIR hyperintense gyri - Spares subcortical and deep WM - Crossing the cerebral vascular territories - Predilection to the posterior parietal and occipital lobes - Strokes of differing ages - No evidence of major vessel occlusion |
| Correct answer |
Correct Answer
Semi-Correct Answer |