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KMID : 0858420080100020139
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Korean Journal of Stroke
2008 Volume.10 No. 2 p.139 ~ p.141
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A Case of Spontaneous Cholesterol Crystal Embolism Presenting with Myelopathy
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Shon Hong-Seok
Lee Seung-Hwan
Lee Seo-Young
Kim Seong-Heon
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Abstract
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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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KEYWORD
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Cholesterol embolism, Spinal cord infarction, Myelopathy
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