大量出血を合併した血管芽細胞腫の1治験例

概要

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A case of hemorrhage from hemangioblastoma is reported. A 52-year-old female was admitted with an episode of sudden-onset consciousness disturbance and double vision. Six years previously she had been treated by a ventriculo-peritoneal shunt, radiation therapy and partial removal of a cerebellar hemangioblastoma. Computed tomography showed a massive hemorrhage around the recurrent tumor in the left cerebellar hemisphere and a ventricular bleeding. Evacuation of the hematoma was immediately performed. The tumor could be removed only partially because it bled easily. Plostoperative left vertebral and carotid angiography disclosed that the tumor was mainly supplied by the left superior cerebellar and the tentorial arteries. In the second operation, the left superior cerebellar artery was clipped temporarily through the subtemporal approach, and the tumor was extirpated totally through the suboccipital approach. Histological examination confirmed hemmngioblastoma. Mechanism of the massive hemorrhage from hemangioblastoma is discussed
日本脳神経外科学会の論文
1985-05-15