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The Korean Journal of Critical Care Medicine > Volume 27(1); 2012 > Article
The Korean Journal of Critical Care Medicine 2012;27(1): 52-54.
doi: http://dx.doi.org/10.4266/kjccm.2012.27.1.52
방추형 추골 동맥류 혈전증에 의한 일시적 외측 연수 허혈 -증례 보고-
최하철ㆍ임형석ㆍ오선영ㆍ신병수*
전북대학교 의과대학 신경과학교실, *전북대학교병원 임상연구소
Thrombosed Fusiform Aneurysm Presented as Transient Lateral Medullary Ischemia: A Case Report
Ha Cheol Choi, Hyoung Seok Lim, Sun Young Oh, Byoung Soo Shin
1Department of Neurology, Chonbuk National University Medical School, Korea. sbsoo@jbnu.ac.kr
2Research Institute of Clinical Medicine, Chonbuk National University Hospital, Jeonju, Korea.
ABSTRACT
The frequency of vertebral artery aneurysm is rare and a common presenting sign is subarachnoid hemorrhage. Lateral medullary syndrome is characterized by loss of pain and temperature sensation on the contra lateral lesion side of the body and ipsilateral lesion side of the face, dysphagia, dysarthria, ataxia, vertigo, nystagmus, and Horner syndrome. Vertebral artery dissecting aneurysm is a common cause of lateral medullary infarction. We present a rare case of a 46-year old male patient that developed ischemic attack presenting as transient lateral medullary syndrome due to thrombosed-fusiform aneurysm of vertebral artery. He was treated with aspirin and heparin, and then discharged with complete resolution of symptoms.
Key Words: fusiform aneurysm; thrombosis; vertebral artery
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