J Korean Neurol Assoc > Volume 21(2); 2003 > Article

Journal of the Korean Neurological Association 2003;21(2): 195-198.

"전두엽기능장애와 S P E C T상 전두엽의 관류 감소를 보인 뇌교외수초융해 1예"

이승회 , 최봉기 이학승 이한샘 박성욱 장 혁 김요식 조광호 김학렬 정은택

원광대학교 의과대학 신경과학교실,내과학교실

"A Case of Extrapontine Myelinolysis with both Frontal Lobe Dysfunction and Decreased Perfusion in SPECT"

Seung-Hoi Lee

Department of Neurology and Internal Medicine, Wonkwang University School of Medicine

Abstract

"A thirty-nine year old woman was consulted because of personality change, agitation and memory disturbance. She received chemotherapy and oral steroids because of carcinoma within the bronchus. She had a high serum osmolarity caused by hyperglycemia and hypernatremia, and it was corrected rapidly. Her brain MRI showed EPM (extrapontine myelinolysis). Brain SPECT showed hypoperfusion in the bilateral orbitofrontal regions. We report a patient with EPM with typical frontal lobe dysfunction as an initial manifestation and bilateral orbitofrontal hypoperfusion.Key Words : EPM, Hyperosmolarity, Frontal lobe dysfunction"