結核性髄膜炎後遺症としての性格変化及びてんかんにみられた特異な頭部レ線像の3例

PECULIAR ROENTGENOGRAM OF THE HEAD IN THREE CASES WITH CHANGE IN PERSONALITY AND EPILEPTIC SEIZURE AS THE AFTERMATH OF TUBERCULOUS MENINGITIS

緒　言

　結核性髄膜炎の治療成績は化学療法の進歩に伴い画期的な発展を遂げているが，その後遺症として示す数々の障害は神経精神医学的，児童心理学的見地から問題とされる所が大きい。我々は結核性髄膜炎後遺症として，てんかん発作と著明な性格変化を来たした3例に特異な頭部レ線像を経験したので，ここにその症例を報告し，2,3の考察を試みることにする。

1. The present paper describes three caseswhich had the fit of epilepsy or change inpersonality as the aftermath of tuberculousmeningitis.

2. Roentgenogram showed calcification atthe hypothalmus, in the surrounding regionof the lower third ventricle, and also in thevicinity of papilla of corium in two cases,while it was found in the regions from onethird above postcentral gyrus of the righthemisphere to the superior pole of the islandin the other case.

3. With due consideration to the literatureand autopsy findings concerning epilepticseirzure occurring as the aftermath of tuber-culous meningitis, the characteristics of theseizure were described.

4. Discussion was carried on the locationof calcification and change in personality, inCase I and Case III.

It is assumed that in all probability distur-bances in the lower peripheral regions of thethird cerebral ventricle including papilla ofcorium, which is believed to be the center ofemotion, is involved in persistent wild beha-viors of patients.