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症例
顆粒球減少症を転機として発症したInfected subdural hematomaの1症例
A Case of Infected Subdural Hematoma (Subdural Empyema) Secondary to Septicemia Caused by Agranulocytosis
上之郷 真木雄
1
,
栗原 正紀
1
,
河野 輝昭
1
,
森 和夫
1
,
安田 光則
2
Makio KAMINOGO
1
,
Masaki KURIHARA
1
,
Teruaki KAWANO
1
,
Kazuo MORI
1
,
Mitsunori YASUDA
2
1長崎大学脳神経外科
2十善会病院
1Department of Neurosurgery, Nagasaki University, School of Medicine
2Juzenkai Hospital
キーワード:
Infected subdural hematoma
,
Subdural empyema
,
Chronic subdural hematoma
,
Agranulocytosis
,
CT-finding
Keyword:
Infected subdural hematoma
,
Subdural empyema
,
Chronic subdural hematoma
,
Agranulocytosis
,
CT-finding
pp.353-357
発行日 1984年3月1日
Published Date 1984/3/1
DOI https://doi.org/10.11477/mf.1436201809
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- Abstract 文献概要
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I.はじめに
最近われわれは,慢性硬膜下血腫の診断のもとに非観血的に経過観察中顆粒球減少症を併発し,これを転機として血腫が感染し硬膜下膿瘍をきたしたと思われる症例を経験した.そのCT所見,感染経路などにつき文献的考察を含めて報告する.
A 76-year-old female was admitted with a headache.She had no febril course before admission. Com-puted tomography (CT) demonstrated bilateral frontalhypodense areas without enhanced rim. She was madea diagnosis of a chronic subdural hematoma. Becauseher general condition was poor and she had no neuro-logical deficit, she was planned to be treated con-servatively. On a few days after the admission, shewas suffered from agranulocytosis. However, leuko-penis disappeared within a few days by the effectivetreatment and any neurological deficit was not observ-ed in these period.
Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.