DICを合併し硬膜下血腫を呈した硬膜転移癌の1例

Subdural Hematoma due to Metastatic Dural Carcinomatosis Associated with DIC:A case report

I．はじめに

　突然の激しい頭痛，嘔吐，めまいというくも膜下出血様発作にて発症し，経過中disseminated intravascularcoagulation syndorme（以下DIC）を合併し，剖検によって癌の頭蓋骨，硬膜への転移と硬膜下血腫を認めた症例を経験した．その病態に関する若干の文献的考察を加え報告する．

This 74-year-old female suddenly complained of severe headache, nausea, vomiting and dizziness on June 19, 1981. She was brought to nearby hospital. During the following six days, the state of consci-ousness gradually worsened and left-sided hemipa-resis and convulsion attack arose and she was admitted to our clinic on June 25, 1981.

Cerebral angiograms revealed an aneurysm of the right middle cerebral artery. Diagnosis of subara-chnoid hemorrhage due to the rupture of an aneurysmwas tentatively made and conservative therapy was done. On the second hospital day, she had nasal bleeding and began to excrete tar-like stool.