Pineocytoma with Intratumoral Hemorrhage Following Ventriculoperitoneal Shunt : Case Report
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概要
- 論文の詳細を見る
A 58-year-old female with pineocytoma developed intratumoral hemorrhage after ventriculoperitoneal shunting for hydrocephalus. Neurological examination revealed Parinaud's sign and papilledema. Computed tomography and magnetic resonance (MR) imaging revealed a pineal neoplasm and obstructive hydrocephalus. Serum and cerebrospinal fluid levels of human chorionic gonadotropin, alpha-fetoprotein, carcinoembryonic antigen, and placental alkaline phosphatase were negative or within normal limits. MR images after the ventriculoperitoneal shunting disclosed intratumoral hemorrhage and markedly smaller ventricles. The tumor was totally removed via the occipital transtentorial approach and was diagnosed histologically as a pineocytoma with astrocytic differentiation. The tumor probably shifted away from the surrounding structures following the marked reduction in ventricular size after ventriculoperitoneal shunting, resulting in changed venous circulation in the tumor and the formation of intratumoral hematoma.
- 日本脳神経外科学会の論文
- 1993-12-15
著者
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SUGITA Yasuo
Department of Pathology and Biodefense, Saga University, Faculty of Medicine
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Sugita Yasuo
佐賀医科大学 病因病態科学
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Yasuo Sugita
Department Of Pathology Kurume University School Of Medicine
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HAYASHI Takashi
Department of Materials Science, Shonan Institute of Technology
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MAEDA Kenji
Departments of Biochemistry and Neurosurgery, Saga Medical School
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UTSUNOMIYA Hidetsuna
Department of Radiology, Fukuoka University School of Medicine
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Utsunomiya Hidetsuna
Department Of Neuroradiology Institute Of Neurosciences St. Mary's Hospital
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Utsunomiya Hidetsuna
Department Of Diagnostic Radiology Fukuoka University School Of Medicine
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HARADA Katsuhiko
Department of Neurosurgery Institute of Neurosciences, St. Mary's Hospital
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ANEGAWA Shigetaka
Department of Neurosurgery Institute of Neurosciences, St. Mary's Hospital
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TORIGOE Ryuichiroh
Department of Neurosurgery Institute of Neurosciences, St. Mary's Hospital
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TODA Keisuke
Department of Neurosurgery Institute of Neurosciences, St. Mary's Hospital
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Toda Keisuke
Department Of Neurosurgery Institute Of Neurosciences St. Mary's Hospital
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Sugita Y
Department Of Pathology And Biodefense Saga Medical School
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Sugita Yasuo
Department Of Neurosurgery Kurume University School Of Medicine
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Harada Katsuhiko
Department Of Neurosurgery Institute Of Neurosciences St. Mary's Hospital
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Hayashi Takashi
Department Of Applied Chemistry Graduate School Of Engineering Osaka University
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Torigoe Ryuichiroh
Department Of Neurosurgery Institute Of Neurosciences St. Mary's Hospital
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Harada Katsuhiko
Department Of Electrical And Communication Engineering School Of Humanity-oriented Science And Engin
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Anegawa Shigetaka
Department Of Neurosurgery Institute Of Neurosciences St. Mary's Hospital
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Maeda Kenji
Departent Of Cardiology Kobe General Hospital
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Hayashi Takashi
Department Of Neurosurgery Institute Of Neurosciences St. Mary's Hospital
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ANEGAWA Shigetaka
Department of Neurosurgery Institute of Neurosciences, St. Mary's Hospital
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Harada Katsuhiko
Department of Applied Chemistry, Faculty of Engineering, Nagoya University
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