脳橋被蓋部症候を呈した小脳出血症例

Pontine Tegmentum Syndrome Appearing Early in Cerebellar Apoplexia:A Case Report

まえがき

　小脳出血は脳出血中でも比較的稀なものであり^1）3）4），その新鮮例の報告も少く，又その生前診断も極めて困難で小脳症状を観察し得る例はむしろ稀有のこととされている^1）2）3）。私は最近新鮮症例を経験し極めて短い生存時間ではあつたが，生前その臨床症状が脳橋被蓋部及び小脳症状であり，剖検により小脳出血及軟化であつた一例を経験したので敢えて報告する。

Male, 50 years old. At the beginning of the attack the general status was as severe as pontine hemorrhage, but 1~2 hours later pontine tegmentum syndrome appeared-rV. VI. VII l VII and palsy,1 conjugate deviation, r horizontal nystagmus:24 hours later right cerebellar syndrome appeared. Death set in 45 hours after onset of disease. Autopsy: No bloody spinal fluid. Massive hemorrhage of r upper-lateral cerebellar hemisphere and softening of remaining right lobe were present. No lesion in vermis and right dentate nucleus.