Pituitary Metastasis from Carcinoma of the Urinory Bladder Mimuicking Pituitary Apoplexy : Case Report
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概要
- 論文の詳細を見る
症例は1998年1月に根治的膀胱癌摘出術を受けた70歳男性。5月22日一過性意識消失、頭痛、視力障害出現し当科紹介、CTで腫瘍内および脳室内に出血を伴う鞍上部腫瘍がみられた。経蝶形骨洞的に腫瘍摘出を試みたが、病理確定できなかった。1カ月後再出血し、開頭により腫瘍を亜全摘し、膀胱癌の下垂体部転移と診断した。剖検例での頭蓋内転位癌の症候性出血の頻度は1.4%とされるが、意識障害を伴うような古典的下垂体卒中の頻度は0.6%とされる。癌の既往のある症例に下垂体卒中様の症状が出現した場合は、癌の下垂体部転移も考慮すべきである。
- 日本脳神経外科学会の論文
- 1999-02-15
著者
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古田 茂
宇和島市立宇和島病院
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古田 茂
市立宇和島病院 脳神経外科
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HATAKEYAMA Takao
Department of Neurosurgery, Uwajima City Hospital
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ZENKE Kiichiro
Department of Neurosurgery, Uwajima City Hospital
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FUKUMOTO Shinya
Department of Neurosurgery, Ehime University School of Medicine
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Fukumoto Shinya
Department Of Metabolism Endocrinology And Molecular Medicine Osaka City University Graduate School
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Hatakeyama Takao
Department Of Neurological Surgery Ehime University School Of Medicine
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Zenke Kiichiro
Department Of Neurological Surgery Ehime University School Of Medicine
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Fukumoto Shinya
Department Of Neurosurgery Ehime University School Of Medicine
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Furuta Shigeru
Department Of Neurosurgery Uwajima City Hospital
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Furuta Shigeru
Department Of Neurological Surgery Ehime University School Of Medicine
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