外傷性大脳基底核部出血の1例—CT誘導定位脳手術による治療例

Massive Traumatic Hematoma Localized in the Basal Ganglia: Treatment by CT-guided stereotactic aspiration surgery

I．はじめに

　外傷性大脳基底核部出血しはCT scanの導入後その報告例も増加しており，孤立性のものと他の部位の出血巣を随伴してみられるものとがある^5）．今回，孤立性の外傷性大脳基底核部出血の小児例に対し，高血圧性脳出血に対し行われているCT誘導定位的脳手術^1,4,9,13）による血腫吸引除去術を施行し，良好な結果を得たので若干の文献的考察を加えて報告する．

A case of massive traumatic hematoma of the basal ganglia which was treated succesfully by CT-guided stereotactic aspiration surgery, was reported.

A 6-year-old boy was admitted 2 hours after a traffic accident. He had no neurological focal signs except for disturbance of consciousness on admission. CT scan re-vealed a massive hematoma in the right basal ganglia. His neurlogical status gradually deteriorated 6 hours af-ter the trauma and the size of the hematoma increased on serial CT scan.