小児脊髄腫瘍—1乳児治験例及び本邦報告例について

Spinal Cord Tumor of Children:A Cured Case of Infantile Spinal Cord Tumor and Review of Domestic Literature

Ⅰ．はじめに

　1887年Gowers＆Horsleyが脊髄腫瘍手術治験第1例を報告して以来，脊髄外科の進歩は著しく，とくにSicard＆Ferestierによるミエログラフで一の創案により一層の普及をみるに至った．

　本邦においても1911年武谷，三宅が摘出に成功してから半世紀の間に幾多の報告があり，その臨床，診断，治療についても討議されつくした感がある．

Spinal cord tumor of children is a rare occurrence and in infancy it is extremely rare.

Experience with a 3-month-old female case of intras-phial extradural neurinoma was reported. This is the youngest reported case in the domestic literature. The tumor, which was solid and extended from the level of llth thoracic vertebra to the 4th lumbar vertebra, was successfully removed. Preoperative symptoms, such as sensory and motor disturbances of bilateral lower extremities and urinary and fecal incontinences, disappeared postoperatively. The patient is quite healthy 7 years after the operation.