| Item type |
琉球大学リポジトリ登録用アイテムタイプ(1) |
| 公開日 |
2022-12-06 |
| タイトル |
|
|
タイトル |
リング状造影効果を伴う脳実質内単発病変が脱髄疾患であった 1 例 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
A case of demyelinating disease with the solitary and gadolinium ring like enhanced lesion in head MRI |
|
言語 |
en |
| 作成者 |
國仲, 倫史
外間, 洋平
渡慶次, 裕也
波平, 幸裕
石内, 勝吾
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
demyelinating disease |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
tumefactive demyelinating lesion |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
multiple sclerosis |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
tumefactive multiple sclerosis |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
high grade glioma |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Demyelinating diseases such as multiple sclerosis, with the solitary and Gadolinium enhanced lesion in head MRI is often difficult to distinguish it from primary or metastatic brain tumor. We report a case of solitary mass lesion in which a brain tumor was suspected but was diagnosed as demyelinating disease. A 67-years-old woman who presented with aware of aphasia and weakness of the right upper limb. About two month later, her symptoms were worsened and had gait disturbance due to weakness of her right lower limb. Gadolinium enhanced-head MRI revealed a solitary mass lesion, which showed horse-shoe like enhancement suggestive of neurodegenerative disease. However, negative oligoclonal band and lower than 0.4 IgG index in cerebrospinal fluid, no dissemination of space and time findings on head MRI, are altogether not suggestive of demyelinating disease. Thus, to have a definite diagnosis, we decided open biopsy. Histological findings were compatible with demyelinating disease without neoplastic cells. After the operation she suffered from recurrent lesion in the corpus callosum and corona radiata, we diagnosed with multiple sclerosis. Based on the clinical course of dissemination of space and time, steroid pulse therapy was performed. Tissue biopsy plays a vital role in the selection of appropriate treatments in atypical type of demyelinating diseases. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
1346-888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 40,
号 1-4,
p. 37-45,
発行日 2021-10
|
Vol40p37.pdf (2.4 MB)
