進行癌に続発した慢性硬膜下血腫3例の検討

Chronic Subdural Hematoma Following Advanced Cancer: Report of three cases

I．はじめに

　進行癌の硬膜転移に続発した非外傷性の硬膜下血腫は1904年のWestenhoeffer^22）以来1987年までに30例の報告1-16，^19-23）がある．われわれは最近，胃癌2例と原発巣不明の腺癌1例に続発した慢性硬膜下血腫3例を経験した．2例は癌の広範な骨髄転移を伴い，1例でもそれが疑われるので，検査所見も含めて報告する．

Three cases of chronic subdural hematoma (CSH) following advanced cancer are reported.

Case 1. A 54-year-old male patient was referred to our clinic in a semicomatose state. Bilateral CSH was evacuated through a pair of burr holes, and conscious-ness was recovered. However, subependymal hemor-rhage occurred at the third ventricle 6 days after the operation. Hematological examination revealed throm-bocytopenia. He died 12 clays after operation because of hemorrhage in the lung. Postmortem examination disclosed metastatic adenocarcinoma of unknown origin to the (tura mater, lymph nodes, lung and bone marrow.