급성 일산화탄소 중독 이후 지연성 뇌병증 증례 = A Case of Delayed Encephalopathy of Carbon Monoxide Intoxication

다국어 초록 (Multilingual Abstract)

Occurrence of carbon monoxide intoxication has decreased due to decline in use of coal briquettes (anthracite) in Korea. However, suicide attempt by use of a coal fire lighter (beon-gae-tan)has shown a rapid increase over the past five years with relevance to imitated suicide. Acute carbon monoxide intoxication is a dangerous problem affecting the brain, kidney, lung, and other major organs. Sometimes, delayed encephalopathy after carbon monoxide intoxication makes clinical psychiatric diagnosis and treatment puzzling because neuropsychiatric sequelae are ambiguous with premorbid psychiatric problems, such as mood disorder, psychotic disorder, or other substance dependence. We report on a case of delayed encephalopathy of carbon monoxide intoxication and discuss its diagnosis and management.

다국어 초록 (Multilingual Abstract)

Occurrence of carbon monoxide intoxication has decreased due to decline in use of coal briquettes(anthracite) in Korea. However, suicide attempt by use of a coal fire lighter (beon-gae-tan)has shown a rapid increase over the past five years with relevance to imitated suicide. Acutecarbon monoxide intoxication is a dangerous problem affecting the brain, kidney, lung, and othermajor organs. Sometimes, delayed encephalopathy after carbon monoxide intoxication makesclinical psychiatric diagnosis and treatment puzzling because neuropsychiatric sequelae are ambiguouswith premorbid psychiatric problems, such as mood disorder, psychotic disorder, orother substance dependence. We report on a case of delayed encephalopathy of carbon monoxideintoxication and discuss its diagnosis and management.

참고문헌 (Reference)

1 김갑득, "일산화탄소 중독에서 지연성 합병증 예측에 대한 Magnetic Resonance Imaging 의 효과" 대한응급의학회 24 (24): 164-173, 2013

2 장영준, "‘사망’ 김종학 PD까지…’번개탄 자살’ 왜 반복되나?"

3 박한선, "‘번개탄’ 이용한 자살 시도 더 이상 방치 안 돼"

4 Parkinson RB, "White matter hyperintensities and neuropsychological outcome following carbon monoxide poisoning" 58 : 1525-1532, 2002

5 Lin WC, "White matter damage in carbon monoxide intoxication assessed in vivo using diffusion tensor MR imaging" 30 : 1248-1255, 2009

6 Tintinalli JE, "Tintinalli’s emergency medicine: a comprehensive study guide" McGraw-Hill Medical 2011

7 Rodkey FL, "Relative affinity of hemoglobin S and hemoglobin A for carbon monoxide and oxygen" 20 : 83-84, 1974

8 Thom SR, "Oxygen-dependent antagonism of lipid peroxidation" 10 : 413-426, 1991

9 Yoon CH, "Neuropsychic sequelae of acute carbon monoxide poisoning" 4 : 71-75, 1961

10 Zhang J, "Mitochondrial oxidative stress after carbon monoxide hypoxia in the rat brain" 90 : 1193-1199, 1992

11 Chang CC, "Longitudinal study of carbon monoxide intoxication by diffusion tensor imaging with neuropsychiatric correlation" 35 : 115-125, 2010

12 Weaver LK, "Hyperbaric oxygen for acute carbon monoxide poisoning" 347 : 1057-1067, 2002

13 Lam SP, "Delayed neuropsychiatric impairment after carbon monoxide poisoning from burning charcoal" 10 : 428-431, 2004

14 Choi IS, "Delayed neurologic sequelae in carbon monoxide intoxication" 40 : 433-435, 1983

15 Kim JH, "Delayed encephalopathy of acute carbon monoxide intoxication: diffusivity of cerebral white matter lesions" 24 : 1592-1597, 2003

16 Lee MH, "Clinical studies on delayed sequelae of carbon monoxide intoxication" 17 : 374-385, 1978

17 Suh SJ, "Case Report : Neurological After - Effects Following Acute Carbon Monoxide Intoxication" 4 : 77-80, 1961

18 Stephen RA, "Carbon monoxide poisoning: novel magnetic resonance imaging pattern in the acute setting" 5 : 30-, 2012

19 Ernst A, "Carbon monoxide poisoning" 339 : 1603-1608, 1998

20 Beppu T, "Assessment of damage to cerebral white matter fiber in the subacute phase after carbon monoxide poisoning using fractional anisotropy in diffusion tensor imaging" 52 : 735-743, 2010

21 Bartzokis G, "Age-related myelin breakdown: a developmental model of cognitive decline and Alzheimer’s disease" 25 : 5-62, 2004

22 Meigs JW, "Acute carbon monoxide poisoning; an analysis of one hundred five cases" 6 : 344-356, 1952