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Neurological CPC・59
視力低下,意識障害を呈して死亡した胃癌の既往のある65歳男性
A 65-year-old Man with a History of Gastric Cancer Who Presented Progressive Loss of Vision, Memory Loss and Consciousness Disturbance
野原 千洋子
1
,
松峯 宏人
1
,
鈴木 和子
2
,
斉藤 昭雄
2
,
大高 雅彦
3
,
森 秀生
1
,
須田 耕一
3
,
近藤 智善
1
,
早川 むつ子
2
,
金井 淳
2
,
水野 美邦
1
Chiyoko Nohara
1
,
Hiroto Matsumine
1
,
Kazuko Suzuki
2
,
Akio Saito
2
,
Masahiko Ohtalta
3
,
Hideo Mori
1
,
Kouichi suda
3
,
Tomoyoshi Kondo
1
,
Mutsuko Hayakawa
2
,
Jun Kanai
2
,
Yoshikuni Mizuno
1
1順天堂大学医学部脳神経内科
2順天堂大学医学部眼科
3順天堂大学医学部第一病理
1Department of Neurology, Juntendo University School of Medicine
2Department of Ophthalmology, Juntendo University School of Medicine
3Department of Pathology, Juntendo University School of Medicine
キーワード:
brain tumor
,
metastatic brain tumor
,
malignant lymphoma
,
carcinomatous retinopathy
,
macroglobulinemia
Keyword:
brain tumor
,
metastatic brain tumor
,
malignant lymphoma
,
carcinomatous retinopathy
,
macroglobulinemia
pp.1041-1051
発行日 1997年11月1日
Published Date 1997/11/1
DOI https://doi.org/10.11477/mf.1406901201
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症例呈示
症例:S.S.,65歳男性(1931年8月1日生,1997年1月4日死亡),ID 1924859
主訴:視力障害,失見当識,意欲低下
We report a 65-year-old man with progressive loss of vision and consciousness disturbance. The patient was well until his age of 63 when he was found to have a gastric cancer. He was treated by the tumor resection and chemotherapy ; he was apparently well, but hepatic metastases were found in the next year (1996). In June, 1996, he noted an onset of blurred vision more on the left. He was admitted to the ophthalmology service of our hospi-tal on July 14, 1996. His vision was 0.8 on the right and 0.15 on the left. He was treated with oral prednisolone with slight improvement.
Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.