Cerebral Gumma Showing Linear Dural Enhancement on Magnetic Resonance lmaging : Case Report
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概要
- 論文の詳細を見る
症例は51歳の男性である。入院時右外転神経麻痺と小脳失調を認めた。また血清中のTPHA抗体価は5120倍であった。画像上右小脳半球、右中小脳脚の脳梗塞と、Gd造影MRIにて右側頭葉にdural enhancementを伴う腫瘤をみとめた。開頭術にて肥厚した硬膜とともに腫瘍を全摘した。病理所見では乾酪壊死を伴う類上皮肉芽腫で、形質細胞浸潤と小動脈の中膜破壊と閉塞も認めた。硬膜には結合組織の増生と血管周囲の細胞浸潤がみ られた。術後の髄液検査でTPHA高値であったことからCerebral gummaと診断した。本例の如くCerebral gummaにてdural enhancementがみられたという報告はなく、若干の文献的考察を加え報告した。
- 1995-11-15
著者
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Hori Shigeaki
Department Of Neurosurgery Oita Medical University
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MORI Teruaki
Department of Neurosurgery, Oita Medical University
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Katayama Seiji
健和会大手町病院脳神経外科
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井上 亮
健和会大手町病院脳神経外科
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Mori Teruaki
Department Of Neurosurgery Oita Medical University
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KUSAKABE Takanori
健和会大手町病院脳神経外科
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Hori Shigeaki
Department Of Neurosurgery Medical College Of Oita
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Mori Teruaki
Department of Neurology, Nishibeppu National Hospital
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