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Neurological CPC・37
小脳動静脈奇形に対する放射線療法施行12年後,歩行障害,小脳占拠性病変を来した32歳男性
A 32-year-old Man Who Developed a Posterior Fossa Mass 12 Years after the Radiation Therapy for Cerebellar Arteriovenous Malformation
越村 勲
1
,
武田 信昭
2
,
大伴 孝
2
,
嶋田 淳一
2
,
菅野 和彦
1
,
森 秀生
1
,
水野 美邦
1
,
佐藤 潔
2
Isao Koshimura
1
,
Nobuaki Takeda
2
,
Takashi Ohtomo
2
,
Junichi Shimada
2
,
Kazuhiko Sugano
1
,
Hideo Mori
1
,
Yoshikuni Mizuno
1
,
Kiyoshi Sato
2
1順天堂大学医学部脳神経内科
2順天堂大学医学部脳神経外科
1Departments of Neurology Juntendo University School of Medicine
2Departments of Neurosurgery Juntendo University School of Medicine
キーワード:
arteriovenous malformation
,
radiation therapy
,
cerebellar tumor
,
radiation necrosis
,
tremor
Keyword:
arteriovenous malformation
,
radiation therapy
,
cerebellar tumor
,
radiation necrosis
,
tremor
pp.81-89
発行日 1996年1月1日
Published Date 1996/1/1
DOI https://doi.org/10.11477/mf.1406900898
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症例呈示
症例 H.H.,32歳,男性(1667495)。
主訴 頭頸部振戦。
We report a 32-year-old man who developed cere-bellar ataxia and a posterior fossa mass 12 years after the radiation therapy for a cerebellar arte-riovenous malformation (AVM). The patient was well until 19 years of the age when he had an acute onset of vertigo and vomiting. A spinal tap was performed and the CSF was bloody. He was admit-ted to another hospital where an arteriovenous malformation was found in the cerebellum by angio-graphy. Four years after the onset, he developed tingling sensation in the distribution of the second division of the right trigeminal nerve.
Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.