雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Brain and Nerve No to Shinkei Volume 50, Issue 12 （December 1998）

Brain and Nerve 脳と神経 50巻12号（1998年12月発行）

Japanese English

Neurological CPC・67

進行性脊髄円錐・馬尾症候群を呈した63歳男性 A 63-year-old Man with Progressive Cauda Equina/Conus Medullaris Syndrome 斎藤佐 ¹ , 中原登志樹 ¹ , 阿部仁紀 ¹ , 杉浦嘉泰 ¹ , 尾形雅宏 ¹ , 杉山泰二 ¹ , 渡辺多佳子 ¹ , 本間真理 ¹ , 飛田兆一 ¹ , 山本悌司 ¹ Tasuku Saito ¹ , Toshiki Nakahara ¹ , Yoshinori Abe ¹ , Toshihiro Sugiura ¹ , Masahiro Ogata ¹ , Yasuji Sugiyama ¹ , Takako Watanabe ¹ , Mari Honma ¹ , Choichi Hida ¹ , Teiji Yamamoto ¹ ¹福島県立医科大学医学部神経内科学講座 ¹Department of Neurology, School of Medicine, Fukushima Medical University キーワード： cauda equina syndrome , ascending myelopathy , intravascular malignant lymphomatosis , angiotropic large-cell lymphoma , muscle biopsy Keyword: cauda equina syndrome , ascending myelopathy , intravascular malignant lymphomatosis , angiotropic large-cell lymphoma , muscle biopsy pp.1133-1141

発行日 1998年12月1日 Published Date 1998/12/1

DOI https://doi.org/10.11477/mf.1406901375

PDF(10449KB)

有料閲覧

Abstract 文献概要
1ページ目 Look Inside

症例呈示

　症例：63歳男性（福島医大2336-24-6）

　主訴：両下肢のしびれ感・脱力，排尿・排便困難

A 63-year-old man, whose father died of malig-nant lymphoma, developed subacutely cauda equina/conus medullaris syndrome progressed over 3 months. Initial radicular pain, ascending motor and sensory paralysis without sacral sparing, vesicorectal dysfunction were similar with signs of spinal dural arteriovenous fistula. However, mild inflammatory signs, raised serum LDH, predomi-nantly of LDH 3, lymphocytic pleocytosis and ele-vated beta 2 microglobulin in CSF suggested neu-rolymphomatosis. It was not supported, however, after CSF immunocytochemistry, myelogram, CT, Gd-MRI and Ga scan.