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J Neurocrit Care 2013;6(2): 107-107.
지속적인 구토증상을 보인 소뇌경색 환자에서 발생한 말로리-바이스 증후군 1예
백 설 희·조 경 희
고려대학교 의과대학 신경과학교실
A Case of Mallory-Weiss Syndrome in Cerebellar Infarction Patient Who Persistently Vomited
Seol-Hee Baek, MD and Kyung-Hee Cho, MD, PhD
Department of Neurology, Korea University College of Medicine, Seoul, Korea
Background: Gastrointestinal (GI) bleeding was mostly related to antithrombotic medications. We report a case of Mallory-Weiss syndrome (MWS) in a patient with persistent vomiting due to cerebellar infarction.
Case Report: A 77-year-old female visited emergency room due to vertigo, and vomiting. She had heart failure and atrial fibrillation, and had taken warfarin. Brain magnetic resonance image revealed multiple cerebral infarctions involving both cerebellar artery territories. On 4th day of admission, she felt a sense of dizziness, and vomited about 300 cc amount of blood. Emergency endoscopy revealed mucosal tearing with massive bleeding at gastro-esophageal junction area. Endoscopic variceal ligation was performed, and then GI bleeding was controlled.
Conclusions: MWS can be a cause of GI bleeding in stroke patients who have uncontrolled vomiting.
Key Words: Mallory-Weiss syndrome · Vomiting · Cerebral infarction
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