MRI 上10個以上の海綿状血管腫が確認された1例
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概要
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Sixty two-years-old male, who had long time history of epilepsy, was transfered suffering sudden disturbance of consciousness. Paraventricular and intraventricular hemorrhage with the signs of acute hydrocephalus was disclosed by X-ray CT and multiple irregular high density areas in both supra-and infratentorial region were opacified simultaneously. Emergent CSF drainage from frontal horn of the lateral ventricle was performed and followed by ventriculo-peritoneal shunt at one month later. Left occipital and paraventricular lesions were excised by left occipital craniotomy at chronic stage and pathological diagnosis of cavernous angioma was confirmed. MRI revealed other several lesions clearly as mixed intensity core with surrouding low intensity rim. Superiority of MRI for diagnosis of cavernous angioma especially in posterior fossa and brain stem was enhanced and possibility of radical surgical excision of brain stem lesions were considered.
- 1991-08-01
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