分娩期上矢状洞血栓症の1例

A CASE OF SAGITAL SINUS THROMBOSIS IN TERMINAL STAGE OF PREGNANCY

まえがき

　分娩期には正常時にくらべて妊婦の血液にある程度の性状変化がおこり^1），また妊娠によつても妊娠中毒症や高血圧および子癇などがおきることはよく知られている^2）。分娩時の妊婦の出血時間や凝固時間が変化することは以前より知られておるが^{1）3）4）5）}，この分娩前後の時期に静脈洞血栓のおこることはあまり知られていない。今回，著者は分娩期に激しい頭痛，嘔吐をもつて発症し，まもなく意識障害をおこし，子癇の診断のもとで帝王切開をおこない，母子ともにその後健在となつた上矢状洞血栓症の1例を経験したので，ここに報告する。

25 years. Housewife. First pregnancy.

Couple of weeks before the delivery day, she had slight oedema on the legs and headache, but one week later she had nothing. Just one week before the term she had again headache and slight hyper-tension. So she was admitted in the hospital on the term. Six days later after admission she had heavy headache and vomitting, and next day she had consciousness disturvance. One day after the attack she got Kaizer operation, but her consciousnss was still going deeper. In one week later her consciousness getting better gradually. She had right hemiplegia echosymptome, right-left distur-bance, alexia, agnosia and apraxia.

On the first carotic angiography, the venous phase was late even after six second later could not get was late even after six second later could not get well, and ten second later still the superior sagital sinus was not seen well. Three weeks later had second angiography. At that time got remarkable change of venous circulation and found colateral circulation of superior sagital sinus.