るいそうを主訴とした脳腫瘍の1剖検例

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  • AN AUTOPSY CASE OF BRAIN TUMOR WITH EMACIATION
  • るいそうを主訴した脳腫瘍の1剖検例
  • ルイ ソウ オ シュソシタ ノウ シュヨウ ノ 1 ボウケンレイ

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A 29 year-old single man, worker, was admitted to this hospital because of emaciation. He had lost 28 kg in weight during last three years. On admission, his height was 181 cm and weight was 45 kg. The lung and heart were normal. No enlargement of lymphnodes were found. Neurological findings were normal except for horizontal nystagmus. X-ray films of the skull revealed calcification of pineal body and no abnormality of sella turcica. A lumbar puncture yealded clear cerebrospinal fluid under normal pressure. Cell count was 3 per cubic millimeter. The protein was 87 mg per 100 ml and the glucose 77 mg per 100 ml. Metopyron test showed a dysfunction of hypophysis. Encephaloangiogram disclosed the upperward deviation of middle cerebral artery. OKP test disclosed diencephalic tumor. On 135 th hospital day, he fell in coma and died. The post-mortemn examination of the brain showed a tumor of corpus collasum and frontal lobe. The tumor extended to the 3 rd ventricle, 4 th ventricle, pons, cerebellum and medulla oblongata. However, hypothalamus and hypophysis were not involved. We suspected that cause of emaciation may be related to the involvement of the 3 rd ventricle basis.

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