Pseudo-cerebrospinal Fluid Rhinorrhea after Skull Base Surgery : Case Report
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概要
- 論文の詳細を見る
cusimanoらは、pseudo-cerebrospinal fluid(CSF) rhinorrheaという病態を初めて報告したが、我々も同様の一例を経験したので報告した。症例は41歳女性。右三叉神経第1枝領域の知覚鈍麻を主訴とし、petrous先端部に腫瘍性瘤変(tentorial meningioma)を認めた。transpetrosal approachによるpetrosectomyの際、greater superficial petrosal nerve (GSPN)は切断したが、術後2週間後より患側のrhinorrheaを認める様になった。Pseudo-CSF rhinorrheaは, GSPNの切断により自律神経系がアンバランスとなり何らかのhypersensitivityが生じ粘液分泌亢進が起こると考えられた。頭蓋底手術に際し、注意すべき一瘤態と思われた。
- 日本脳神経外科学会の論文
- 1998-06-15
著者
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KURIMOTO Masanori
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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ENDO Shunro
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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浜田 秀雄
富山医科薬科大学医学部脳神経外科
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AKAI Takuya
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama
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TAKAKU Akira
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama
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Akai Takuya
Department Of Neurosurgery Toyama Medical And Pharmaceutical University Toyama
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Kurimoto Masanori
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Kurimoto Masanori
Department Of Neurosurgery Toyama Medical And Pharmaceutical University Toyama
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Takaku Akira
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Endo Shunro
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Endo Shunro
Department Of Neurosurgery Toyama Medical And Pharmaceutical University Toyama
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OHI Masayoshi
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama
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Ohi Masayoshi
Department Of Neurosurgery Toyama Medical And Pharmaceutical University Toyama
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Akai Takuya
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Takaku Akira
Department Of Neurosurgery Toyama Medical And Pharmaceutical University Toyama
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Kurimoto Masanori
Department Of Bioproduction Faculty Of Agriculture Yamagata University
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浜田 秀雄
富山医科薬科大学 脳神経外科
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