A case of cerebral thromboembolism in ulcerative colitis / 대한내과학회지
Korean Journal of Medicine
;
: 498-502, 2009.
Artículo
en Coreano
| WPRIM
| ID: wpr-12114
ABSTRACT
Although cerebral thromboembolic disease is a rare extraintestinal manifestation of ulcerative colitis, it is one of the major causes of death in patients with the disease. A 29-year-old man who had a 7-year history of ulcerative colitis was admitted to our hospital complaining of nausea, vomiting, bloody diarrhea, and colicky abdominal pain. Fourteen days after admission, he developed sudden-onset left pure motor hemiplegia. Magnetic resonance imaging and angiography revealed an infarction involving the right temporo-occipital hemisphere and diffuse middle cerebral artery territory. Neck computed tomography angiography showed no evidence of cervical carotid or vertebral artery abnormalities, and transthoracic and transesophageal echocardiograms revealed no evidence of thrombi. Factor V was elevated to 176% (normal 50~150%) and protein S antigen had decreased to 57% (normal 60~150%). He was managed with antiplatelet agents and a total proctocolectomy.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Tromboembolia
/
Úlcera
/
Arteria Vertebral
/
Vómitos
/
Factor V
/
Imagen por Resonancia Magnética
/
Inhibidores de Agregación Plaquetaria
/
Angiografía
/
Colitis Ulcerosa
/
Dolor Abdominal
Límite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Año:
2009
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS