Sixty two-years-old male, who had long time history of epilepsy, was transfered suffering sudden disturbance of consciousness. Paraventricular and intraventricular hemorrhage with the signs of acute hydrocephalus was disclosed by X-ray CT and multiple irregular high density areas in both supra-and infratentorial region were opacified simultaneously. Emergent CSF drainage from frontal horn of the lateral ventricle was performed and followed by ventriculo-peritoneal shunt at one month later. Left occipital and paraventricular lesions were excised by left occipital craniotomy at chronic stage and pathological diagnosis of cavernous angioma was confirmed. MRI revealed other several lesions clearly as mixed intensity core with surrouding low intensity rim. Superiority of MRI for diagnosis of cavernous angioma especially in posterior fossa and brain stem was enhanced and possibility of radical surgical excision of brain stem lesions were considered.
雑誌名
北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation
巻
4
号
1
ページ
67 - 70
発行年
1991-08-01
ISSN
1340-5764
著者版フラグ
publisher
その他のタイトル
Multiple Cavernous Angioma ? Report of a Case with More Than Ten Lesions Recognized by Magnetic Resonance Imaging ?