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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.
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