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Neurological Surgery No Shinkei Geka Volume 11, Issue 6 （June 1983）

Neurological Surgery 脳神経外科 11巻6号（1983年6月発行）

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症例

頭蓋内出血を来たしたvon Willebrand病の1治験例 Intracranial Hemorrhage in von Willebrand's Disease:A case report 溝井和夫 ¹ , 小沼武英 ² , 甲州啓二 ³ , 森和夫 ⁴ Kazuo Mizoi ¹ , Takehide ONUMA ² , Keiji KOSYU ³ , Kazuo MORI ⁴ ¹東北大学脳神経外科 ²仙台市立病院脳神経外科 ³富山医科薬科大学脳神経外科 ⁴東北大学第3内科 ¹Division of Neurosurgery, Institute of Brain Diseases, Tohoku University School of Medicine ²Division of Neurosurgery, Sendai City Hospital ³Department of Neurosurgery, Toyama Medical and Pharmaceutical University ⁴The Third Department of Internal Medicine, Tohoku University School of Medicine キーワード： von Willebrand’s disease , Intracranial hemorrhage , Basal ganglia , Ventricular hemorrhage Keyword: von Willebrand’s disease , Intracranial hemorrhage , Basal ganglia , Ventricular hemorrhage pp.667-671

発行日 1983年6月10日 Published Date 1983/6/10

DOI https://doi.org/10.11477/mf.1436201691

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Abstract 文献概要
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I．はじめに

　出血性素因を有する患者に合併した頭蓋内出血は死亡率も高く，早期の適切な止血管理と治療が患者の救命につながることはいうまでもない．最近，われわれは血友病の類縁疾患であるvon Willebrand病に合併した外傷性大脳基底核部出血および脳室内穿破の稀な1小児例を治癒せしめたので，若干の考察を加え報告する．

A rare case of intracranial hemorrhage proved associated with von Willebrand's disease was reported.

A 4-year-old girl fell down and hit her occipital region against a small wooden case. Soon after she cried for a few minutes, but she gradually became unconscious. Four hours later she was brought to our hospital. On admission she was semicomatose with left hemiparesis. There was no evidences of head injury and plain skull films were normal. CT scan disclosed a hematoma in the right basal ganglia with a ventricular hemorrhage. No vascular malfor-mations were seen on the carotid angiogram.