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KMID : 0988920090070010052
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Intestinal Research
2009 Volume.7 No. 1 p.52 ~ p.55
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A Case of Hemorrhagic Cerebral Infarction in Ulcerative Colitis
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Choi Eun-Jung
Kim Yong-Kil
Kim Kyeong-Ok
Lee Si-Hyung
Yoon Seok-Jin
Jang Byung-Ik
Jang Kyoung-Ae
Lee Sang-Hoon
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Abstract
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Ulcerative colitis is associated with a number of extraintestinal complications, including the infrequent occurrence
of thromboembolic disease. Cerebral venous thrombosis is an extremely rare and fatal complication of ulcerative
colitis. A 38-year-old woman presented with sluggish mentation and left hemiplegia. Ulcerative colitis had been
diagnosed 3 years earlier by colonoscopy and biopsy, and had been controlled with a mesalazine. On admission,
a brain computed tomography revealed a high density area in the right frontal lobe, and T2-weighted magnetic
resonance imaging demonstrated an abnormal signal in the right frontal area, suggestive of a hemorrhagic cerebral
infarction. She was managed with a decompressive craniectomy and conventional treatment for ulcerative colitis.
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KEYWORD
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Colitis, Ulcerative, Cerebral Infarction, Thrombosis
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