腫瘍内出血により卒中様発作を繰り返した若年者の悪性星状神経膠腫の1例

Repeated Intracerebral Hemorrhage in Malignant Astrocytoma-A Case of Apoplectic Manifestation

Ⅰ．はじめに

　若年者の突発性脳内出血の原因として，脳動脈瘤，脳動静脈奇形の破裂が代表的であり，脳腫瘍によるものは比較的まれである．最近，われわれは，malignant astrocytomaの腫瘍内出血で2回の脳卒中様発作をきたした症例を経験し救命し得たので若干の文献的考察を加え報告する．

A case of 26-year-old female with malignant astrocytoma was described. Intracerebral hemorrhage appeared in apoplectic fashion on two occasions and surgery was done after each attack. At the first operation, a hematoma in the right putaminal region was totally evacuated and a specimen from the cavity wall showed tumor cells which could not be classified histologically at that time. The patient fully recovered postoperatively.

Astrocytoma was confirmed 4 months later by the second operation for the repeated intratumoral hemorrhage.