特発性脊髄出血の1例

A Case of Spontaneous Spinal Haemorrhage

　脊髄出血は脳出血に比し，その発生頻度が少なく，しかもその殆んどが外傷に依り，特発性に起る場合は甚だ稀である。著者は最近頸髄上部の脊髄炎症候群を呈して入院，死後剖検によつて頸髄内血管腫の特発性破綻による脊髄出血であることを確認出来た1例を経験したので茲に報告する。

A case of spontaneous hematomyelia was re-ported. The patient was 22 year old man. On 4. Jan. 1954 afternoon he suddenly complained severe headache. In the midnight, when he went to toilet, he recognized an uncomfortable feeling on his left half of the body. Next mor-ning, when he wanted to go to toilet again, he could not get up. After few hours his left arm was paralysed. On the following day his right arm was also paralysed and vomiting occurred. The temperature was 37.5℃. On 8. Jan. 1954 he could not drink water and admitted in our hospltal. His 4 extremities were paralysed and reflexes were increased.

Pathologic reflex was not seen. Under his shoulder-high sensibility was also damaged and on the 8 day after admission he died. The aut-opsy revealed that the upper portion of the spi-nal cord was destroyed by bleeding, which probably occurred from the rupture of a hema-ngioma in the spinal cord.