脳内出血に続発した脳膿瘍の1例

Brain Abscess Following Intracerebral Hematoma

I．はじめに

　脳血管障害に続発した脳膿瘍の報告は稀であり，しかも大部分は閉塞性脳血管障害^{1,4,5,10-12）}に続発した症例で，脳内出血に続発した脳膿瘍の報告は5例^2-4,6）に過ぎない．この度われわれは右被殻出血後4カ月を経て血腫部に脳膿瘍が続発した1例を経験し，穿刺排膿術にて全治せしめたので若干の文献的考察を加えて報告する．

A 53-year-old man fully conscious was admitted with It. hemiparesis due to a rt. putaminal hemorrhage. A phlebitis of superficial vein at It. leg was noted on the 7th hospital day. Following administration of antibio-tics, he was afebrile three days after. But local in-flammation of phlebitis and leukocytosis continued for over one week. He had no sign of infection thereafter. Four months later, the hemiparesis exacerbated. CT scan revealed a cystic lesion with ring-like enhance-ment at the site of the hematoma. He was afebrile and had no sign of meningeal irritation.