興味ある経過を呈した外傷性小脳損傷の2例

Clinical Study of Two Cases of Traumatic Cerebellar Injury

I．はじめに

　外傷性小脳損傷は極めてまれで，死亡率も46-82％と高く予後不良の疾患^1,16,17）である．今回われわれは，経過中に内側縦束症候群（Medial longitudinal fasciculus syndrome：MLF症候群）あるいはcerebellar mutismという多彩な臨床症状を呈し，予後良好であった2症例を経験し若干の知見を得たので報告する．

Abstract

Two cases of traumatic cerebellar injury complicated with a traumatic medial longitudinal fasciculus (MLF) syndrome or cerebellar mutism were reported, and the cause of these mechanisms was discussed: Case 1: A 9-year-old boy who struck his head in the occipital region during an automobile accident was operated on for a delayed traumatic intracerebellar hematoma. The operation improved the level of his consciousness but MLF syndrome was noticed.