| A case of cerebral thromboembolism in ulcerative colitis |
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Jong Taek Oh, Seong Woo Jeon, Eung Kap Lee, Soon Hak Lee, Min Kyu Jung, Sung Kook Kim |
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| 궤양성 대장염 환자에서 발생한 뇌경색 1예 |
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오종택, 전성우, 이응갑, 이순학, 정민규, 김성국 |
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| Abstract |
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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. (Korean J Med 77:498-502, 2009) |
| Key Words:
Ulcerative colitis; Cerebral infarction; Thromboembolism |
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