Cerebral Gumma Showing Spontaneous Regression on Magnetic Resonance Imaging Study : Case Report
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概要
- 論文の詳細を見る
自然退縮を示した神経梅毒(ゴム腫)の1例を報告する。症例は75歳男性、頭痛で発症した。MRIのT1, T2強調画像ともに低信号を示し、Gd投与でリング状に増強される、硬膜と癒着した病変を右後 頭葉に認めた。経過中、ステロイドや抗生物質を投与しなかったにもかかわらず、画像上自然退縮を認めたため、悪性リンパ腫の術前診断で摘出を行った二ところが、組織学的には非特異的肉芽腫で、髄液中のTPHA反応が強陽性、抗生物質の投与にて約4カ月で病変が消失したことよりゴム腫の診断が確定した。近年AIDSの増加とともに神経梅毒は増加しており、硬膜を巻き込んだ腫瘍では自然退縮を認めても、ゴム腫を鑑別診断として考慮すべきである。
- 日本脳神経外科学会の論文
- 1999-03-15
著者
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竹島 秀雄
熊本大学医学部脳神経外科
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竹島 秀雄
熊本大学脳神経外科
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USHIO Yukitaka
Department of Neurosurgery, Kumamoto University Medical School
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KAKU Takayuki
Department of Neurosurgery, Kumamoto University School of Medicine
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Ushio Yukitaka
Department Of Neuropsychiatry Surgery Osaka National Hospital
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Ushio Yukitaka
Department Of Neurosurgery Kumamoto University School Of Medicine
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Kaku Takayuki
Department Of Neurosurgery Kumamoto University School Of Medicine
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