漿液性髄膜炎を伴う網脈絡膜疾患の数例

Five cases retino-uveitis associated with meningitis serosa

緒　言

　Leptomeningitisは細菌，真菌，原虫，Virusなどによる感染性髄膜炎と，Sarcoidosis, Behçet症候群，癌性髄膜炎等の非感染性髄膜炎とに大別されるが，非細菌性でしかも，髄液に炎症性反応が見られるものを総称して漿液性髄膜炎（SeröseMeningitis）または無菌性髄膜炎（AseptischeMeningitis）というが，Vogt−小柳−原田症候群およびBehçet病はSeröse Meningitisを伴うとされているが，著者らはVogt−小柳−原田症候群およびBehçet病を除いた網脈絡膜炎を伴う眼疾患で，Seröse Meningitisを伴う症例を5例報告したい。

We experienced 5 cases of retino-uveitis associ-ated with serous meningitis (more strictly defined as serous meningo-encephalitis) . The ocular disorders were sclero-uveitis in the first case, APMPPE in the second case and retino-uveitis involving the fundus area above and under the optic disc in the third case. In the fourth case central retino-uveitis supervened during the course of serous meningitis, while in the fifth case there was a relatively chronic, mild uveitis of the anterior segment type with subsequent vitreous opacity. This latter case showed clinical evidence of mild meningitis.