지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 150 - 152 (3page)
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초록· 키워드
오류제보하기
The Chiari malformation is an infrequently detected congenital anomaly characterized by the downward displacement of the cerebellum with a tonsillar herniation below the foramen magnum that may be accompanied by either syringomyelia or hydrocephalus. Surgery, such as foramen magnum decompression, is indicated for a symptomatic Chiari malformation, although an incidental lesion may be followed-up without further treatment. Infrequently, increased intracranial pressure emerges due to hyperthyroidism. A nineteen-year-old girl visited our outpatient clinic presented with a headache, nausea and vomiting. A brain and spinal magnetic resonance image study (MRI) indicated that the patient had a Chiari I malformation without syringomyelia or hydrocephalus. An enlarged thyroid gland was detected on a physical examination, and serum markers indicated Graves’ disease. The patient started anti-hyperthyroid medical treatment. Subsequently, the headache disappeared after the medical treatment of hyperthyroidism without surgical intervention for the Chiari malformation. A symptomatic Chiari malformation is indicated for surgery, but a surgeon should investigate other potential causes of the symptoms of the Chiari malformation to avoid unnecessary surgery.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Aitken LA. / 2009 / Chiari type I malformation in a pediatric population / Pediatr Neurol 40:449~454
Coutinho E. / 2011 / Graves’ disease presenting as pseudotumor cerebri : a case report / J Med Case Rep 5:68~69
Eichling JO. / 1975 / In vivo determination of cerebral blood volume with radioactive oxygen-15 in the monkey / Circ Res 37:707~714
Haroun RI. / 2000 / Current opinions for the treatment of syringomyelia and Chiari malformations : Survey of the pediatric section of the American Association of Neurological Surgeons / Pediatric Neurosurg 33:311~317
Herwig U. / 1998 / Hyperthyroidism mimicking increased intracranial pressure / Headache 39:228~230
Coutinho E. / 2011 / Graves’ disease presenting as pseudotumor cerebri : a case report / J Med Case Rep 5:68~69
Eichling JO. / 1975 / In vivo determination of cerebral blood volume with radioactive oxygen-15 in the monkey / Circ Res 37:707~714
Haroun RI. / 2000 / Current opinions for the treatment of syringomyelia and Chiari malformations : Survey of the pediatric section of the American Association of Neurological Surgeons / Pediatric Neurosurg 33:311~317
Herwig U. / 1998 / Hyperthyroidism mimicking increased intracranial pressure / Headache 39:228~230
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