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タイトル頭蓋内海綿状血管腫の3例
タイトルヨミズガイナイ カイメンジョウ ケッカンシュ ノ 3レイ
タイトル別表記Intracranial Cavernous Hemangioma; Report of Theww Cases
作成者波多野, 光紀
城山, 雄二郎
井上, 信一
井出, 豊
湧田, 幸雄
青木, 秀夫
作成者ヨミハタノ, ミツノリ
シロヤマ, ユウジロウ
イノウエ, シンイチ
イデ, ユタカ
ワクタ, ユキオ
アオキ, ヒデオ
作成者別表記Hatano, Mitsunori
Shiroyama, Yujiro
Inoue, Shinichi
Ide, Yutaka
Wakuta, Yukio
Aoki, Hideo
作成者所属山口大学医学部
内容記述(抄録等)Three cases of intracranial cavernous hemangioma which proved histologically and examined with carotid angiography and computed tomographic (CT) scan were reported. Of these cases, the hemangiomas were located in extradural middle fossa in one and other two were found in temporal and occipital lobes respectively. Conventional carotid angiography showed venous pooling or padding of the contrast media at the site of the angioma in all cases, and small feeding arteries from the internal carotid artery were found in extradural middle fossa lesion. With use of prolonged injection technique, angiographic signs appeared more conspicuously than other specific techniques (stereoscopic view, magnification angiography etc.). CT scan showed a high density area with marked contrast enhancement in uncalcified case, but no remarkable enhancement was seen in calcified case. Angiographic and CT scan findings which reported in the literature were reviewed. On the treatment, extirpation of the calcified intracerebral angioma is the method of choice for the amelioration of epileptic seizure or other clinical symptoms, and operative procedure is not so difficult. On the contrary, in the case of extradural middle fossa lesion, extirpation of the angioma is very difficult because of tremendous bleeding encountered at the operation. It was reported that the radiation therapy was very effective in such case. This effect was proved in our case too, that the postoperative tumor remnant observing in enhanced CT scan was disappeared by 4,000 rads X-ray irradiation. Now about 2 years after the treatment, no tumor shadow was found in CT scan even in contrast enhancement. We agree with the opinion of the recommendation of preoperative irradiation in such case.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
31
2
開始ページ217
終了ページ226
発行日1982-04
著者版/出版社版その他
リポジトリIDB030031000211
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030031000211