Journal of Korean Society of Geriatric Neurosurgery 2008;4(1):79-85.
Published online June 30, 2008.
Clinical Experiences of Unusual Cerebral Infarctions in Elderly Patients
Jae Ho Choi , Jae Hoon Sung , Sang Won Lee , Byung Chul Son, Jae Taek Hong , Seung Ho Yang , Il Sup Kim , Chun Kun Park

Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea

노인환자에서의 드문 뇌경색 치료 경험

최재호ㆍ성재훈ㆍ이상원ㆍ손병철ㆍ홍재택ㆍ양승호ㆍ김일섭ㆍ박춘근

가톨릭대학교 의과대학 성빈센트병원 신경외과학교실

Abstract
Cerebral infarction, especially in elderly patients, is one of the leading causes of death and disability. In cases of common vascular territorial infarctions, with advancement of modern magnetic resonance imaging (MRI) and computerized tomography (CT) technologies such as diffusion MRI and CT angiography, prompt diagnosis and management are much easier than past era. But, some cases of unusual infarctions need sophisticated assessment thorough knowledge of neuroanatomy and high index of suspicion. We present unusual medial medullary infarction, high cervical cord infarction, misdiagnosed infarction of cervical spine stenosis, embolic infarction from fusiform aneurysm and hemorrhagic infarction of sagittal sinus thrombosis with review of literatures. Individualized stepwise diagnostic and therapeutic approaches are warranted.
Key Words: Cerebral infarctionsㆍDiagnosisㆍElderly


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