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Neurological Surgery No Shinkei Geka Volume 17, Issue 5 （May 1989）

Neurological Surgery 脳神経外科 17巻5号（1989年5月発行）

Japanese English

症例

出血を繰り返した脊髄海綿状血管腫の1手術例 A Case of Repeated Hematomyelia Caused by Cavernous Hemangioma in the Spinal Cord 森内秀祐 ¹ , 清水恵司 ¹ , 山田正信 ¹ , 桜井幹己 ² , 最上平太郎 ¹ Shusuke MORIUCHI ¹ , Keiji SHIMIZU ¹ , Masanobu YAMADA ¹ , Masami SAKURAI ² , Heitaro MOGAMI ¹ ¹大阪大学医学部脳神経外科 ²大阪大学医学部病理部 ¹Department of Neurosurgery, Osaka University Medical School ²Department of Pathology, Osaka University Medical School キーワード： Cavernous hemangioma , Spinal cord , Hematomyelia , MRI Keyword: Cavernous hemangioma , Spinal cord , Hematomyelia , MRI pp.477-479

発行日 1989年5月10日 Published Date 1989/5/10

DOI https://doi.org/10.11477/mf.1436202823

PDF(4873KB)

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Abstract 文献概要
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I．はじめに

　数年にわたり神経症状の増悪を繰り返し，術前MRI検査にてSpontanmeous hematomyeliaと診断され，術後組織診断にて出血を繰り返した海綿状血管腫と確定診断された一手術例に対し，その術前MRI所見について比較検討を加え，さらに若干の文献的考察を行ったので報告する．

A case is reported of repeated hematomyelia caused by cavernous hemangioma in the spinal cord. A 47-year-old woman first noticed a sudden onset of numb-ness in her thigh and then it gradually disappeared. Four months after the onset, she began to experience weakness and numbness in both of her legs, and diffi-culty in voiding and defecating. She recovered gradual-ly for several months, but felt numbness in both legs. Myelography showed swelling at Th₅ level. T₂-weighted MRI showed a reticulated core of mixed in-tensity with rims of decreased intensity.