視束脊髄炎様症状を呈した髄芽細胞腫

A case of medulloblastoma, clinically diagnosed as opticomyelitis (Devic)

緒言

　下半身に麻痺を伴い急激な視力障害を起した学童について，剖見の結果，髄芽細胞腫と診断された一症例を報告します。

A girl of 10 years of age fell ill suddenly beginning with blindness of both eyes, and subsequently extending to transversal spinal paralysis, which had the symptoms rese-mbling Devic's disease.

In addition to the symptoms there were increased intracranial pressure, irritation of the meninges, many cells in the spinal fluid, and gape of the cranial suture. Death occurred some 3 months after sudden blindness.

Postmortem examination showed medulloblastomas in the fourth ventricle, vertex of the cerebrum and in the spinal tract, with extensive invasion to the basilar meninges and spinal meninges.