Neurological Surgery 脳神経外科37巻11号

2009年11月発行

症例

頚椎手術後に小脳出血を来した2症例

著者： 諸藤陽一¹ 角田圭司¹ 日宇健² 出雲剛² 福嶋政昭³ 安永暁生³ 陶山一彦¹ 永田泉¹

所属機関： ¹長崎大学医学部・歯学部附属病院脳神経外科 ²長崎労災病院脳神経外科 ³安永脳神経外科

ページ範囲：P.1117 - P.1122

Ⅰ．はじめに

　テント上の開頭術後に小脳出血を来すいわゆるremote cerebellar hemorrhage（RCH）は稀な合併症で，その頻度は0.2～4.9％とされている^2,16,19)．脊椎術後にRCHを来す頻度はさらに少なく，腰椎術後では0.08％と報告されている⁴⁾．われわれも以前胸椎術後にRCHを来した症例を経験し稀な合併症として報告した¹⁴⁾が，今回頚椎術後にRCHを来した症例を経験した．従来考えられているより，頻度が高い合併症である可能性もあり文献的考察を加え報告する．

参考文献

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