급성 일산화탄소 중독 후 발생된 지연성 뇌병증의 치료 증례

• 영문명: A Case of Treatment of Delayed Encephalopathy after Acute Carbon Monoxide Intoxication
• 발행기관: 대한노인정신의학회
• 저자명: 이선희(Sun Hee Lee) 주진형(Jin Hyeong Jhoo)
• 간행물 정보: 『노인정신의학』노인정신의학 제21권 제1호, 41~45쪽, 전체 5쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2017.04.30

영문 초록

Delayed carbon monoxide (CO) encephalopathy patients can show cognitive impairment, aphasia, affective and personality changes and behavioral symptoms. The prognosis of them is sometimes poor or irreversible. We present a case of 61-year-old woman who visited us at 56 days after CO intoxication and showed moderate to severe cognitive impairment and behavioral problems. We prescribed the donepezil (5 mg/d), memantine (5 mg/d), choline alfoscerate (800 mg/d) and ziprasidone (20 mg/d), based on previous case reports and performed the cognitive rehabilitation. After 30 days treatment in hospital, she showed dramatic improvement in cognitive functions and behavioral problems. This case suggests that adequate pharmacological and cognitive treatment could improve the moderate to severe symptoms of delayed CO encephalopathy even about 2 months later after CO intoxication.

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키워드

Carbon monoxide Encephalopathy Treatment 일산화탄소 뇌병증 치료