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Brain and Nerve No to Shinkei Volume 51, Issue 9 （September 1999）

Brain and Nerve 脳と神経 51巻9号（1999年9月発行）

Japanese English

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Neurological CPC・74

P-ANCA（perinuclear type antineutrophil cytoplasmic antibody）が陽性を示し，再発性多発性脳神経麻痺を呈した70歳男性 An Old Man Presenting with Fluctuating Bilateral Multiple Cranial Nerve Palsies and Positive Test for Perinuclear Antineutrophil Cytoplasmic Antibody 杉山泰二 ¹ , 清水優 ¹ , 星明彦 ¹ , 青木智子 ¹ , 松浦豊 ¹ , 杤久保早苗 ¹ , 清水さおり ¹ , 室井亜貴子 ¹ , 本間真理 ¹ , 山本悌司 ¹ Yasuji Sugiyama ¹ , Masaru Shimizu ¹ , Akihiko Hoshi ¹ , Tomoko Aoki ¹ , Yutaka Matsuura ¹ , Sanae Tochikubo ¹ , Saori Shimizu ¹ , Akiko Muroi ¹ , Mari Honma ¹ , Teiji Yamamoto ¹ ¹福島県立医科大学神経内科学講座 ¹Department of Neurology, School of Medicine, Fukushima Medical University キーワード： multiple cranial nerve palsies , chronic hypertrophic pachymeningitis , perinuclear antineutrophil cytoplasmic antibody , Wegener's granulomatosis , prednisolone・cyclophosphamide combined therapy Keyword: multiple cranial nerve palsies , chronic hypertrophic pachymeningitis , perinuclear antineutrophil cytoplasmic antibody , Wegener's granulomatosis , prednisolone・cyclophosphamide combined therapy pp.825-832

発行日 1999年9月1日 Published Date 1999/9/1

DOI https://doi.org/10.11477/mf.1406901495

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Abstract 文献概要
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症例呈示

　症例　70歳男性（福島医大2267-52-4）

　主訴　拍動性頭痛，両眼の閉眼困難，複視，左顔面の痛み，左難聴，嚥下障害，構音障害

A 70-year-old man admitted to a local hospital be-cause of facial muscle weakness, tinnitus and facial pain in left side, was then given corticosteroid with a tentative diagnosis of Bell's palsy and his symptoms gradually improved. Since these symptoms recurred six months later, he was referred to our neurological service. As his brain CT revealed diffuse thickening and enhancement of the dura mater, he was thought to have hypertrophic pachymeningitis ( HP ) . Intrave-nous antibiotics were started for aspiration pneumonia and his neurological symptoms gradually improved.