急性発症で意識障害，痙攣，左片麻痺を呈した96歳男性

A 96-year-old Man with Consciousness Disturbance, Convulsion, and Left Hemiplegia of Acute Onset

症例呈示

症例：N．A．，96歳，男性

主訴：意識障害

We report a 96-year-old Japanese man who developed a sudden onset of left hemiplegia and coma. He was found to have diabetes mellitus, hypertension, and atrial fibrillation since 1996 with occasional episodes of congestive heart failure. He was otherwise apparently well until July 5 of 1997 when he developed a sudden onset of unresponsive-ness and convulsion involving his right hand and was admitted to our hospital.

On admission, his BP was 210/120mmHg, heart rate 76/min and irregular, BT 36.5℃, and Cheyne-Stokes respiration. General medical examination was otherwise unremarkable.