Intracranial Localized Castleman's Disease : Case Report
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概要
- 論文の詳細を見る
A 68-year-old woman presented with generalized clonic seizure following a 2-month history of initiative loss, incoherent speech, headache, and left hemiparesis. No systemic signs or symptoms were seen and laboratory studies were within normal range. Computed tomography and magnetic resonance imaging demonstrated a well-delineated small mass with homogeneous enhancement in the right parietal convexity, associated with unusually extensive perifocal edema compared to the size of the mass. Cerebral angiography showed a faint stain fed by the middle meningeal artery. These imaging features were very similar to those of meningioma. Full recovery from the symptoms was achieved by total removal of the lesion and no recurrence was found after 3 years. Histological examination identified the hyaline-vascular type of angiofollicular lymph node hyperplasia (Castleman's disease). Castleman's disease involving the central nervous system is rare, with only 12 previous cases, but should be considered in the diagnosis of intracranial meningeal tumors. The treatment of choice for localized Castleman's disease is complete surgical resection, which is curative in most of the cases.
- 日本脳神経外科学会の論文
- 2005-01-15
著者
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TANAKA Toshiki
Department of Neurosurgery, Asahi University Murakami Memorial Hospital
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Matsumura Ken-ichi
Department Of Neurosurgery Kusatsu General Hospital
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Matsuda Masayuki
Department of Internal Medicine (Neurology and Rheumatology), Shinshu University School of Medicine
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NAKASU SATOSHI
Department of Neurosurgery, Molecular Neurobiology Research Centre, Shiga University of Medical Scie
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NIOKA Hirofumi
Department of Neurosurgery, Kusatsu General Hospital
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Tanaka Toshiki
Department Of Applied Chemistry Faculty Of Engineering Nagoya Institute Of Technology
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Tanaka Toshiki
Department Of Neurosurgery Shiga University Of Medical Science
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Nioka Hirofumi
Department Of Neurosurgery Kusatsu General Hospital
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Nakasu Satoshi
Department Of Neurosurgery Shiga University Of Medical Science
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