小脳出血で発症した血管芽細胞腫の1例

概要

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A patient with cerebellar hemorrhage caused by hemoangioblastoma was reported.<BR>A 60-year-old male patient suddenly complained of neusea, vomiting and gait disturbance in the early part of May 1974. Two weeks later the gait disturbance increased gradually and accompanied with motor weakness of left upper extremity. On 27 June he stumbled and fell on the floor and struck on the face, afterward he was unable to walk without support.<BR>The day of admission, 1 July, the principal clinical findings were trunkal ataxia, left incoordination, papilledema, horizontal nystagmus toward left side, urinary disturbance and hiccup. Brain scintigram and VAG revealed mass lesion in right side of posterior fossa. At operation, 11 July, about 20 ml of dark red fluid was aspirated from cerebellar vermis but did not find mural nodul in the cystic cavity.<BR>About 7 month later he was readmitted for the aggravation of gait disturbance and was diagnosed cerebellar vascular tumor by VAG with tumor staining. Recraniotomy was performed on 10 Feb. 1975 and hypervascular solid tumor was removed subtotally, and was diagnosed hemoangioblastoma by histological examination.
The Japanese Society on Surgery for Cerebral Strokeの論文