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Neurological Surgery No Shinkei Geka Volume 35, Issue 5 （May 2007）

Neurological Surgery 脳神経外科 35巻5号（2007年5月発行）

Japanese English

症例

脳アミロイドアンギオパチーを強く疑う脳出血に続発した脳膿瘍の1例 Primary Intracerebral Hemorrhage Due to Probable Cerebral Amyloid Angiopathy Complicated by Brain Abscess: Case Report 武内勇人 ¹ , 藤田智昭 ^1,2 , 恵飛須俊彦 ¹ , 峯浦一喜 ² Hayato TAKEUCHI ¹ , Tomoaki FUJITA ^1,2 , Toshihiko EBISU ¹ , Katsuyoshi MINEURA ² ¹公立南丹病院脳神経外科 ²京都府立医科大学脳神経外科 ¹Department of Neurosurgery,Nantan General Hospital ²Department of Neurosurgery,Kyoto Prefectural University of Medicine キーワード： cerebral amyloid angiopathy , brain abscess , intracerebral hemorrhage , Stenotrophomonas maltophilia Keyword: cerebral amyloid angiopathy , brain abscess , intracerebral hemorrhage , Stenotrophomonas maltophilia pp.489-493

発行日 2007年5月10日 Published Date 2007/5/10

DOI https://doi.org/10.11477/mf.1436100529

PDF(620KB)

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Abstract 文献概要
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参考文献 Reference

Ⅰ．はじめに

　脳アミロイドアンギオパチー（cerebral amyloid angiopathy，CAA）は高齢者の脳血管にアミロイド蛋白が沈着し，脳葉型脳出血や白質障害などを来す疾患で，高齢者脳出血に占める割合は少なくない．脳出血後に膿瘍を形成した報告は稀であり，今回，CAAを強く疑う脳出血後の膿瘍形成例を経験したので，文献的考察を加えて報告する．

　Cerebral amyloid angiopathy (CAA), in which deposition of amyloid within the arterial media and adventitia is the remarkable feature, causes spontaneous lober cerebral hemorrhage in elderly person, and some reports show the quite high occurrence rate of this entity among intracerebral hemorrhage in patents above 70 years old. Brain abscess resulting from intracerebral hemorrhage is rare. To our knowledge, no report of such hemorrhage which is caused by CAA has been published so far. We report a case of brain abscess, from which Stenotrophomonas maltophilia was isolated, following spontaneous non-hypertensive intracerebral hemorrhage caused by probable CAA, with a review of the relevant literature.