CAJ | 학술논문

目的探讨鼻咽癌放射治疗后所致脑干梗死的临床特点。方法报道1例鼻咽癌放射治疗后9年出现脑干梗死的患者，结合复习文献对该病的临床表现、影像学特点以及可能的发病机制予以分析。结果患者男性，42岁。急性起病，临床表现为左侧肢体无力和复视，既往有鼻咽癌放射治疗史，无明显血管危险因素。头颅MRI示脑干梗死， C TA示双侧大脑后动脉管腔狭窄。结论该患者脑干梗死可能与鼻咽癌放射治疗相关。
목적탐토비인암방사치료후소치뇌간경사적림상특점。방법보도1례비인암방사치료후9년출현뇌간경사적환자，결합복습문헌대해병적림상표현、영상학특점이급가능적발병궤제여이분석。결과환자남성，42세。급성기병，림상표현위좌측지체무력화복시，기왕유비인암방사치료사，무명현혈관위험인소。두로MRI시뇌간경사， C TA시쌍측대뇌후동맥관강협착。결론해환자뇌간경사가능여비인암방사치료상관。
Aim To investigate the clinical characters of brain stem infarction after radiation for nasopharyngeal carcinoma.Methods A patient with brain stem infarction 9 years after radiotherapy for nasopharyngeal carcinoma was reported. The clinical, imaging feature and pathogenesis were retrospectively analyzed with relevant documents.Results A 42-year-old male had acute-onset right-sided hemiparesis and diplopia. The paitent had a history of cranial radiation therapy for nasopharyngeal carcinoma and had no signiifcant vascular risk factors. Cranial MR imaging showed brain stem infarction and CTA showed a stenosis of the bilateral posterior cerebral artery. Brain stem infarction in this patient was likely associated with the radiotherapy.Conclusion Radiotherapy is the first choice of treatment for nasopharyngeal carcinoma, however, it may induce brain stem infarction.