Cerebellar Abscess Associated with Pulmonary Arteriovenous Fistula and Hereditary Hemorrhagic Telangiectasia : Case Report
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概要
- 論文の詳細を見る
症例は以前より遺伝性毛細血管拡張症(HHT)と肺動静脈瘻(PAVF)を指摘されていた57歳の男性。主訴は頭痛。反復する鼻出血の既往あり。母もPAVF。意識は清明で神経学的には歩行障害をみるのみ。パチ指とチアノーゼを認め、舌に毛細血管拡張あり。胸部聴診にて連続性雑音が聞かれた。胸部X線上数力所のcoin lesionあり。CT・MRIにて右小脳半球の脳膿瘍が判明。血管撮影では無血管野。エコー下に穿刺・排膿を行い、脳膿瘍の消失を確認したのち、後日肺動静脈瘻摘出術を施行。術後経過は良好であった。HHT・PAVFに合併した小脳膿瘍はこれが2例目の報告である。PAVFを放置すれば脳膿瘍が再発する可能性があり、脳膿瘍の治療後にPAVFも根治すべきである。
- 日本脳神経外科学会の論文
- 1996-08-15
著者
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INOUE Hiroshi
Department of Internal Medicine, University of Toyama
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荻野 雅宏
慶應義塾大学医学部脳神経外科
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Harada Shun-ichi
Department Of Neurosurgery Saiseikai Kanagawa-ken Hospital
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HORINOUCHI Hirohisa
Departments of Surgery, School of Medicine, Keio University
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NAKAMURA Tsuneo
Department of Neurosurgery, Saiseikai Kanagawa-ken Hospital
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Horinouchi Hirohisa
Departments Of Surgery School Of Medicine Keio University
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Horinouchi Hirohisa
Department Of Surgery School Of Medicine Keio University
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Inoue Hiroshi
Department Of Electrical And Electronic Engineering Akita University
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Nakamura Tsuneo
Department Of Neurological Surgery Hiratsuka City Hospital
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Horinouchi Hirohisa
Department Of Surgery Keio University School Of Medicine
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Inoue Hiroshi
Departmcnt Of Biology Faculty Of Science Kyushu University:(present)department Of Biology Kyushu Den
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Inoue Hiroshi
Department Of Neurosurgery Tokyo Dental College Ichikawa Hospital
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Inoue Hiroshi
Deparment of Neurosurgery, Gunma University School of Medicine and Gamma Unit Center, Hidaka Hospital
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