Cerebral Gumma Mimicking Glioblastoma on Magnetic Resonance Images : Case Report

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概要

• 論文の詳細を見る

• 症例は39歳の女性。視野障害を主訴に入院した。MRI上右中大脳動脈近傍にT1強調像で直径約1cmのリング状増強効果を伴う腫瘍陰影を認め、周囲はT2強調像で高信号域を示した。神経膠芽腫を疑い腫瘍摘出術を試みたところ術中所見でクモ膜炎を疑わせる所見があり、病理所見では壊死巣を取り囲む肉芽組織が認められた。術後施行した髄液中梅毒血清反応は強陽性であり、梅毒によるCerebral Gummaと診断した。術後ペニシリンGによる治療により病変は著明に縮小した。相対的虚血による中心性壊死とは異なる機序として梅毒感染による血管炎を挙げ、小リング状増強効果が鑑別点になりうると考え文献的考察を加えた。

• 日本脳神経外科学会の論文
• 1995-07-15

著者

• Yamada Takashi

  Department of Molecular Biotechnology, Graduate School of Advanced Sciences of Matter, Hiroshima Uni

• 上村 和也

  筑波大学臨床医学系脳神経外科

• YOSHII Yoshihiko

  筑波大学脳神経外科

• NOSE Tadao

  筑波大学脳神経外科

• TSUKADA Atsuro

  Department of Neurosurgery, Kennan Hospital

• 上村 和也

  筑波大学脳神経外科

• ENOMOTO Takao

  筑波大学脳神経外科

• Yamada Takashi

  Department Of Chemistry Faculty Of Science And Engineering Konan University

• Tsukada Atsuro

  Department Of Neurological Surgery Kennan Hospital

• Yamada Takashi

  Department Of Animal Science Graduate School Of Agricultural Science Kobe University

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