慢性の経過で発症し前頭葉症候を呈した深部脳静脈血栓症の１例

• 西田 浩

  県立岐阜病院神経内科

• 清水 洋孝

  岐阜大学医学部附属病院第一内科

• 田中 優司

  県立岐阜病院神経内科

• 衣斐 達

  愛知医科大学第4内科

• 佐橋 功

  愛知医科大学第4内科

書誌事項

タイトル別名

• A case with deep cerebral venous thrombosis showing chronic neurological deficits of the frontal lobe.

抄録

A 44-year-old man, who had a past history of diabetes mellitus, was admitted to our hospital suffering from apathy and hypobulia. On admission, neurological examinations revealed bradykinesia and lead pipe-like rigidity psychiatric manifestations such as impaired attention, loss of autonomy, and slurred speech were also observed. Examinations of higher brain functions disclosed amnesia and stereotypy. T 2-weighted MRI of the brain showed a high signal intensity in the bilateral thalamic regions, while a Gd-enhanced study demonstrated an enhancement of these regions. Cerebral angiography failed to reveal either the internal cerebral vein or the vein of Galen. The patient was therefore diagnosed as having deep cerebral vein thrombosis. We suggest that a disorder involving the connection between the thalamus and the frontal lobe may have played a role in his manifestations, because SPECT revealed a reduction in frontal lobe blood flow.

収録刊行物

• 脳卒中

  脳卒中 23 (2), 204-207, 2001

  一般社団法人 日本脳卒中学会

キーワード

• deep cerebral venous thrombosis
• bilateral thalamic infarction
• dural AVF
• SPECT
• frontal lobe

詳細情報

• CRID: 1390282679614080896
• NII論文ID: 130003631423
• NII論文ID: 10007021057
• NII書誌ID: AN0020186X
• DOI: 10.3995/jstroke.23.204
• ISSN: 18831923
• ISSN: 09120726
• Web Site: https://search.jamas.or.jp/link/ui/2005187518
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可