頭蓋外多発性神経鞘腫を伴った頭蓋内多発性髄膜腫の1剖検例

An Autopsy Case of Intracranial Multiple Meningiomas associated with Extracranial Multiple Neurinomas

I．はじめに

　多発性髄膜腫は1889年AnfimowとBlumenau^3）により初めて報告されたが，稀な疾患ではなく，これまで多くの観点からの報告がみられている^{12,13,15,19,25）}．最近われわれは初回手術から20年後に髄膜腫の多発性再発をきたし，かつその期間中に頭蓋外末梢神経の多発性神経鞘腫の発生をみた1剖検例を経験したので，若干の考察を加え報告する．

An autopsy case of intracranial multiple menin-giomas associated with extracranial multiple neurino-mas was presented. A 55-year-old woman, who had received surgical treatment for right parasagittal meningioma 20 years ago, gradually showed the sign of increased intracranial pressure and disturbance of the lower cranial nerves.

Brain CT scan demonstrated numerous intracranial tumors.

At autopsy 124 intracranial meningiomas, and neurinomas in her left cervical and right axillar portion were found.