フルテキストファイル
著者
Kambe, Atsushi Division of Neurosurgery, Department of Brain and Neurosciences, School of Medicine, Tottori University Faculty of Medicine 研究者総覧 KAKEN
Hosoya, Tomohiro Department of Neurosurgery, Nojima Hospital
Sakamoto, Makoto Division of Neurosurgery, Department of Brain and Neurosciences, School of Medicine, Tottori University Faculty of Medicine 研究者総覧 KAKEN
Kondo, Shinji Department of Neurosurgery, San-in Rosai Hospital
Kurosaki, Masamichi Division of Neurosurgery, Department of Brain and Neurosciences, School of Medicine, Tottori University Faculty of Medicine 研究者総覧
キーワード
amyloid angiopathy
high-grade glioma
intratumoral hemorrhage
subcortical hemorrhage
抄録
We report a rare case of a high-grade glioma masquerading as a small subcortical hemorrhage. A 71-year-old woman came to a local hospital with sudden right upper extremity numbness. Computed tomography revealed a small subcortical hemorrhage with faint perifocal edema in the left postcentral gyrus. Conservative treatment was initiated, and she was discharged from the hospital with no neurological deficits. Six months later after discharge, she suffered an acute partial seizure of the right upper extremity. Magnetic resonance imaging with gadolinium demonstrated a ring-enhancing mass surrounded by severe perifocal edema in the hemorrhagic scar. We performed complete resection of the tumor, and the histological diagnosis was anaplastic oligodendroglioma. The diagnosis of a high-grade glioma was delayed due to intratumoral hemorrhages mimicking a small subcortical hemorrhage; consequently, we suspected the hemorrhage was induced by cerebral amyloid angiopathy. It may be important to repeat radiological follow up, if necessary, and to maintain clinical observance of possible intracranial neoplasm, even when the hemorrhage is small, particularly when the cause of bleeding is unknown.
出版者
Tottori University Medical Press
資料タイプ
学術雑誌論文
外部リンク
ISSN
0513-5710
EISSN
1346-8049
書誌ID
AA00892882
掲載誌名
Yonago Acta Medica
最新掲載誌名
Yonago Acta Medica
62
4
開始ページ
305
終了ページ
307
Patient Report
発行日
2019-11-22
出版者DOI
著者版フラグ
出版社版
著作権表記
注があるものを除き、この著作物は日本国著作権法により保護されています。 / This work is protected under Japanese Copyright Law unless otherwise noted.
掲載情報
Kambe A, Hosoya T, Sakamoto M, Kondo S, Kurosaki M. High-grade Glioma Masquerading as a Small Cerebral Hemorrhage: A Case Report. Yonago Acta Medica. 2019;62:305-307.
部局名
医学部・医学系研究科・医学部附属病院
言語
英語