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Neurological CPC・35
進行性に構音障害・嚥下障害，左片麻痺を呈した49歳男性
A 49-year-old Man with Progressive Dysarthria, Dysphagia, and Left Hemiparesis
西宮 仁
1
,
山路 義生
2
,
新田 泰三
3
,
森 秀生
2
,
山村 彰彦
4
,
白井 俊一
4
,
近藤 智善
2
,
佐藤 潔
3
,
水野 美邦
2
Jin Nishimiya
1
,
Yoshio Yamaji
2
,
Taizou Nitta
3
,
Hideo Mori
2
,
Akihiko Yamamura
4
,
Toshikazu Shirai
4
,
Tomoyoshi Kondo
2
,
Kiyoshi Sato
3
,
Yoshikuni Mizuno
2
1国立精神・神経センター国府台病院神経内科
2順天堂大学医学部脳神経内科
3順天堂大学医学部脳神経外科
4順天堂大学医学部二病理
1Department of Neurology, National Institute for Psychiatric and Neurologic Disorders Kohnodai Hospital
2Department of Neurology, Juntendo University School of Medicine
3Department of Neurosurgery, Juntendo University School of Medicine
4Department of Pathology, Juntendo University School of Medicine
キーワード：
brain tumor
,
astrocytoma
,
glioblastoma gliomatosis cerebri
,
malignant lymphoma
Keyword:
brain tumor
,
astrocytoma
,
glioblastoma gliomatosis cerebri
,
malignant lymphoma
pp.1109-1118
発行日 1995年11月1日
Published Date 1995/11/1
DOI https://doi.org/10.11477/mf.1406900872
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症例呈示
症例 N．T．，49歳，男性，会社員。
主訴 全身倦怠感，構音障害，嚥下障害。
We report a 49-year-old man who presented progressive dysarthria, dysphagia, and left hemipa-resis. The patient was well until June 28th of 1993 when he noted 'weakness' in his both legs; despite his weakness, he could play golf on that day. In the beginning of July, he noted difficulty in swallowing solid foods. He was admitted to the neurosurgery service of our hospital on July 15th of 1993 and a neurologic consultation was asked on July 17th.
Neurologic examination at that time revealed an alert but somewhat childish man who appeared to have some difficulty in paying attention to ques-tions.
Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.
