小脳内血腫の3症例

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Case 1, 2: A 57-year-old man and 27-year-old man had a sudden onset of headache and dizziness. When these patients were admitted, they showed a spontaneous nystagmus, gait disturbance and severe dizziness. Clinical course and neurological examinations suggested the space taking lesion in the posterior fossa. Vertebral angiography showed the anterior shift of basilar artery and abnormal stretching of posterior inferior cerebellar artery. Especially, the positive contrast ventriculography revealed the anterior shift of the aqueduct of sylvius and fourth ventricle. It was most effective procedure to diagnose the intracerebellar hematoma. At suboccipital craniectomy, intracerebellar hematoma was evacuated. After the surgical treatment, there were no neurological deficiency and no complaints.<BR>Case 3: A 43-year-old female had a sudden onset of severe headache with a slightly disturbance of consciousness. She was performed bilateral carotid angiography but there was no abnormal findings. Vertebral angiography and positive constrast ventriculography revealed the cerebellar AVM and intracerebellar hematoma. On the 6th day, at suboccipital craniectomy, total removal of cerebellar AVM and evacuation of intracerebellar hematoma was performed. The postoperative course was uneventful and there was no neurological deficiency.
The Japanese Society on Surgery for Cerebral Strokeの論文