Moyamoya Disease Associated With Pulmonary Sarcoidosis : Case Report
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概要
- 論文の詳細を見る
モヤモヤ病に肺サルコイドーシスを合併した稀な症例を報告した。61歳の女性で失語症、ゲルストマン症候群にて入院した。左後頭葉の脳梗塞を認め、血管撮影では両側内頚動脈(aupraclinoid portion)と左後大脳動脈の閉塞、モヤモヤ血管を認めた。左浅側頭動脈一中大脳動脈吻合術により症状は改善したが、肺梗塞を生じて死亡した。剖検所見では、肺門部リンパ節にサルコイド結節を認めた。モヤモヤ病の原因として、慢性炎症後の免疫応答が関与し、一方サルコイドーシスの原因はmycobacteria感染が重要とする報告が散見され、本症例は2つの病態が合併しており細菌感染を契機とした血管壁の変化が推測され、モヤモヤ病の原因を考える上で重要と考えられた。
- 1998-09-15
著者
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竹中 勝信
岐阜大学 医学部・脳神経外科
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竹中 勝信
岐阜大学脳神経外科
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ITO Masafumi
Department of Pathology, Japanese Red Cross Nagoya Daiichi Hospital
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SUGIMOTO Yuka
Department of Hematology and Oncology, Mie University Graduate School of Medicine
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Sugimoto Yuka
Department Of Hematology And Oncology Mie University Graduate School Of Medicine
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Sugimoto Yuka
Department Of Neurosurgery Toki General Hospital
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KUMAGAI Morio
Department of Neurosurgery, Toki General Hospital
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YAMAKAWA Haruki
Department of Neurosurgery, Toki General Hospital
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YAMAKAWA Hiroyasu
岐阜大学脳神経外科
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NISHIMURA Yasuaki
岐阜大学脳神経外科
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SAKAI Noboru
岐阜大学脳神経外科
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Yamakawa Haruki
Department Of Neurosurgery Gifu Prefectural Gifu Hospital
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Yamakawa Haruki
Department Of Neurosurgery Toki General Hospital
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Kumagai Morio
Department Of Neurosurgery Gifu University School Of Medicine
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Kumagai Morio
Department Of Neurosurgery Toki General Hospital
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Ito Masafumi
Department Of Electrical And Electronic Engineering Faculty Of Science And Technology Meijo Universi
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