モルヨドールにより発生したと考えられる限局性癒着性脊髄膜炎の1手術治験例

POSTOPERATIVE ADHESIVE SPINAL MENINGITIS:REPORT OF A CASE CAUSED BY MOLJODOL MYELOGRAPHY AND MARKEDLY IMPROVED FOLLOWING OPERATION

I．緒言

　近代脊髄外科は1922年SicardおよびFörsterによるミエログラフィ創始を転機として飛躍的な発展をとげた^3）。

　ミエログラフィは診断学上，他の方法に優越する種々の長所を有しているが，その反面若上の副作用を有することは否定できない。ヨード油を使用するミエログラフィの副作用に関しては，これまでにも多くの報告があるが^{9）13）17）}，癒着性脊髄膜炎を惹起したという報告はきわめて少ない。

A rare case of postoperative circumscribed spinal adhesive meningitis caused by Moljodol myelography was reported.

A 58-year-old woman was first operated upon for her spinal meningioma 1942. when Moljodol was used for myelography.

Following the operation she was quite well for 15 years until she had gradually progressive symptoms of unsteadiness of gait. hypesthesia of the lower ex-tremities. finger tremor. headache and vertigo.

X-ray pictures at readmission revealed contrast medium in the spinal canal and the intra-cranial cavity.

At second operation in 1962, circumscribed spinal adhesive meningitis was found, but no recurrent tumor. Operative findings and histological study proved that adhesive meningitis was caused by residual Moljodol having remained for 20 years.

Recovery after second operation was satisfactory.