多彩な神経症状を示したクモ膜下出血の一症例

概要

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The patient was a 69 year -old housewife who was admitted to our hospital with chief complaints of headache and stupor.<BR>The patient has been known to have high blood pressur since 67 years old.<BR>On the ninth hospital day the both eyes were deviaced upward and its movements were limited downward and to the left, the tongue deviated toward the left side on protrusion.<BR>Examination of the nervous system disclosed the paralysis of oculomotor nerve and hypoglossal narve. The tendon reflexes were symmetrically diminisched in the legs, and a bilateral Babinski sign was elicited.<BR>During the two months of this hospitalization the patient remained stupor or comatos. She died and was diagnosed subarachnoid cerebroventricular hemorrhage at autopsy, and it was definded that a ruptured aneurysm of the right posterior communicating artery has been presented.