選択的spinal angiography で造影された spinal hemangioblastomaの症例

SPINAL HEMANGIOBLASTOMA VISUALIZED BY SELECTIVE SPINAL ANGIOGRAPHY

序論

　Spinal hemangioblastomaは選択的spinal angiogra—phyで造影が困難であるとされていたが，今回，我々は，第12胸椎付近に存在するspinal hemangioblastomaの造影に成功したので，臨床経過に，若干の考案を加えて報告する。

　本症例は多発性のhemangioblastomaで第1回入院で，4個の後頭蓋窩腫瘍の治療を行ない，第2回（今回）入院で脊髄にもhemangioblastomaの存在することが判明した。

A case report of the spinal hemangioblastoma visualized by the selective spinal angiography.

The patient, 18 year-old man, had multiple he-mangioblastomas in the posterior fossa on the firstadmission.

Two of these tumors were removed by operation, the other two tumors were treated by BAR. therapy.

After discharge, he was free of complaints and in satisfactory conditions.

11 months later, he readmitted to our hospital complaining of urinary disturbance.

All of the cerebellar tumors were diminished angiographycally, on this admission, but selectiveangiography revealed spinal hemangioblastoma at the level of about Th12.

By using operative microscope, total removal of the tumor was successfully accomplished without any neurological deficit.

After the second discharge he has enjoyed use-ful life and been free of complaints.