Late Traumatic Apoplexy

LATE TRAUMATIC APOPLEXY

はじめに

　1891年，Bollinger^1）が頭部外傷後，ある一定期間の無症状期を経て，突然apoplexy様の症状を呈する症例を"traumatische Spät-Apoplexie"として報告して以来，頭部外傷後の合併症の一つとして，本疾患の存在は，その定義，成因にいくらかの問題があるにせよ，多くの人々の認めるところである。最近我々は，本疾患に属すると思われる3症例を経験し，開頭手術を施行し，血腫除去に成功し，治癒せしめたので報告し，あわせて本疾患の文献的考察を行なつた。

Three cases of late traumatic apoplexy which was described in 1891 by Bollinger, were reported. All of 3 cases were young men, whose ages were 9, 10 and 27 year-old respectively. After head in-jury, they did not complain of any symptoms, ex-cepting unconsciousness for a few minutes. But they suddenly suffered from severe headache, cons-ciousness disturbance and motor paresis, following a certain asymptomatic period between 6 and 18 days. All cases were diagnosed as intracerebral hematoma, corresponded to coup or contrecoup region, by cerebral angiograms. They were oper-ated on intracranial surgery with good results. Pathogenesis of the late traumatic apoplexy was discussed.