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KMID : 0359719950130030714
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Journal of the Korean Neurological Association
1995 Volume.13 No. 3 p.714 ~ p.720
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Henoch-Schonlein Purpura Involving Cerebral Hemisphers
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신병수
송대원/이상효/서만욱/김영현
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Abstract
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Henoch-Sch?lein Purpura is a generalized small vessel vasculitis of hypersens-itivity type chanracterized primarily by a purpuric skin lesion, renal involvement with hematuria and proteinuria, arthralgia, and colicky abdominal pain. A possible
neurologic involvement was recognized in 1914 by Osler. A case of a 7 1/2-year-old male patient with Henoch Sch?lein purpura developed neurologic manifestations including seizure and menatal status change. The cranial CT demonstrated a occipital
hemorrhage of right side and cerebral edema with contrast enhancing scattered dilated vessels. The EEG-changes were slow wave activities in acute stage. The follow-up EEG shows that the slow wave activities were more improved than previous and
that
multiple spike waves were recorded at both fronto-temporo-parietal areas with phase reversals. The vasculitis of HenochSch?lein purpura can involve the nervous system.
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KEYWORD
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