髄内出血により発症した spinal hemangioblastoma の 1 症例

概要

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Spinal hemangioblastoma rarely cause intramedullary hemorrhage. We report a case of hemangioblastoma with intramedullary hemorrhage and review previous reports. A 71-year old man suddenly incurred consciousness-disturbance and tetraparesis. He came to our hospital by ambulance. CT and MRI showed intramedullary hemorrhage from the lower medulla oblongata to the C3 level. The right vertebral angiogram revealed hemangioblastoma fed by the anterior spinal artery at the level of C1. In consideration of the patient's age and general condition, surgical treatment not used. Instead, mega-dose steroid and osmotic diuretics administration was performed along with hyperbaric oxygen therapy. The right vertebral angiogram after 6 month after onset revealed remarkable reduction of tumor size. His symptoms improved gradually and he is now independent in his daily living activity.
日本脊髄外科学会の論文
2000-02-29