伝導失語を初発症状とした肺腺癌による髄膜癌腫症の1例(神経内科学教室竹宮敏子教授退任記念特別号)

概要

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A 55-year-old man was hospitalized because of the acute onset of speech disturbance, which was defined as typical conduction aphasis. A cranial CT revealed a considerably enhanced edematous lesion in the left peri-sylvian region mainly involving the superior temporal gyrus extending to the inferior part of the supramarginal gyrus. Despite no apparent respiratory tract symptoms, a chest X-ray and CT revealed multiple small nodular lesions in both lungs, and the fifth cytological examination of the cerebrospinal fluid disclosed malignant cells, indicating adenocarcinoma. Even in cases with focal cerebral symptoms of acute onset, meningeal carcinomatosis should be considered among the differential diagnoses.
東京女子医科大学の論文
2000-12-30