Choreoathetosis after cardiopulmonary bypass with deep hypothermia

J Korean Neurol Assoc > Volume 15(3); 1997 > Article

Journal of the Korean Neurological Association 1997;15(3): 695-700.

저체온 심폐 우회술 후 발생한 무도아테토이드증 1례

최철희, 유영훈, 손영호, 설준희, 이병인

연세대학교 의대 신경과. 뇌연구소. 진단방사선과, 소아과

Choreoathetosis after cardiopulmonary bypass with deep hypothermia

Chul Hee Choi, M.D., Young Hoon Ryu, M.D., Young Ho Shon,M.D., Joon Hee Sul, M.D., Byung In Lee, M.D.

Department of neurology and brain research Institute, department of diagnostic radiology, Pediatrics, Yonsei University, College of Medicine

Abstract

A 9-year-old boy showed orofacial dyskinesia and psychic symptoms shortly after open heart surgery with deep hypothemia and cardiopulmonary bypass for congenital cyanotic heart disease. The choreothetosis progressed to be generalized and accompanied by mental deterioration. This involuntary movement partially responded only to repetitive administration of sedatives. After 3 month the patient expired with sudden development of ventricular tachycardia and cardiogenic shock.