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On Clinical Observation of a Rare Case of Intraseller Extradural Empyema Operatively Improved Yukiharu Ueki 1 1Department of Neurosurgery, Niigata University School of Medicine pp.200-204
Published Date 1957/3/1
DOI https://doi.org/10.11477/mf.1406200557
  • Abstract
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A thirty twoyearold peasant underwent an operation for bilateral maxillar sinusitis in 1950. He began to complain of a frontal headache in the spring of 1953 and of failing vision in the summar of that year. So he called on the ophthalmologic clinic, and his case was diagnosed as neuritis retrobulbaris acuta.

Consequently, he was admitted to our clinic, with chief complaint of headache and visual impairment in the August of 1953.

The neurological examinations revealed a relatively central scotom in the left eye ground, R.V.=0, L.V.=0.7, right abducens paresis, disturbance of upwardmovement and inwardmovement of the right eye ball, cir-cumscribed slight hypesthesia of the right periocular and infraocular regions, and in-completely-directionchanging nystagmus.

He was found to suffer from paranasal sinusitis, but had a normal temperature and no leucocytosis.

Craniogram showed a remarkable irregular destruction in the sella turtica as a whole, especially that to the forward direction.

This case was found to have a organic lesion of the chiasma region, but the nature of the lesion was left unknown. So the right frontal craniotomy was performed.


Copyright © 1957, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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