Neuroimaging Appearance of Pituitary Abscess Complicated with Close Inflammatory Lesions : Case Report
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概要
- 論文の詳細を見る
抗生物質の普及に伴って稀な疾患となった下垂体膿瘍の症例について、画像診断所見を中心に報告した。症例は13才、女性。1か月前の高熱の後、頭痛とともに進行性の視力障害を生じた。入院時、頭痛・発熱はなく、視力低下と両耳側半盲を認めたが、炎症反応は陰性であった。頭部CTでは、トルコ鞍部から上方にリング状に増強される低吸収域の腫瘤を認めた。MRIでは、嚢胞性の腫瘤で、内部の信号強度はT1強調像では髄液よりもやや高く均一、これに接して左前頭葉にGdにて増強される腫瘤が見られた。開頭排膿術と抗生物質投与により、視力障害は著明に改善し、MRIでも腫瘤は膿瘍壁のGd増強領域も含めて縮小した。培養は陰性であった。
- 日本脳神経外科学会の論文
- 1998-01-15
著者
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高橋 敏夫
弘前大学脳神経外科
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Takahashi Toshio
Department of Applied Physics, Faculty of Engineering, University of Tokyo
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Tanaka Masahiko
Department Of Neurosurgery Neurological Institute Tokyo Women's Medical University
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Shibata Seiko
Department Of Neurosurgery Hirosaki University School Of Medicine
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Suzuki Shigeharu
Department Of Endocrinology And Metabolism Hirosaki University Graduate School Of Medicine
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Ito Satoshi
Department Of Neurosurgery Hirosaki University School Of Medicine
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Ito Satoshi
Department Of Cardiovascular Surgery Itabashi Chuo Medical Center
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ITO Katsuhiro
Department of Neurosurgery, Hirosaki University School of Medicine
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Ito Katsuhiro
Department Of Neurosurgery Hirosaki University School Of Medicine
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Tanaka Masahiko
Department Of Neurosurgery Hirosaki University School Of Medicine
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Tanaka Masahiko
Department Of Gastroenterology Chikushi Hospital Fukuoka University
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Suzuki Shigeharu
Department Of Brain-surgery Hirosaki University School Of Medicine
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Ito Satoshi
Department Of Biological Production And Environmental Science Faculty Of Agriculture University Of M
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Takahashi Toshio
Department Of Applied Physics Faculty Of Engineering University Of Tokyo
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高橋 敏夫
Department of Neurosurgery, Hirosaki University School of Medicine
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ITO Satoshi
Deparetment of Internal Medicine (II), Niigata University School ofMedicine
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高橋 敏夫
Department of Industrial Chemistry, Faculty of Engineering, Kyoto University
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Tanaka Masahiko
Department of Chemistry, Faculty of Science, Kyushu University 33
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