척수병증으로 발현한 자발성 콜레스테롤 결정에 의한 색전증 1예

초록

Cholesterol cystal embolism is a serious complication of atheroma. Cholesterol embolism can give rise a various clinical spectrum, depending of the site of the embolism, but neurological manifestation involving spinal cord is extremely rare. We describe a case of cholesterol embolism causing spinal cord infarction presented with myelopathy. A 74-year-old male visited our hospital due to sudden paraparesis and sensory loss below T10 dermatome. Laboratory test revealed renal failure requiring hemodialysis and renal biopsy showed cholesterol cleft emboli in the microvascular space. Myelopathy would be presenting symptom of systemic cholesterol crystal embolism. (Korean J Stroke 2008;10:139-141)

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