Neurological Surgery 脳神経外科37巻5号

2009年05月発行

症例

拡散強調画像で脳梁膨大部に可逆性高信号域を認めた低血糖性片麻痺の2例

著者： 香川賢司¹ 岡田仁¹

所属機関： ¹国立国際医療センター国府台病院脳神経外科

ページ範囲：P.473 - P.478

Ⅰ．はじめに

　低血糖症では一部の例で片麻痺や失語症などの巣症状を認める場合があることが知られている．このような例では多くが脳卒中の初期診断の下で急性期にMRIを含めた検査が行われるが，有意な所見に乏しいことも多く，脳梗塞やtransient ischemic attack（TIA）と誤診され低血糖症の診断が遅れる場合もある．今回，われわれは急性期に拡散強調画像（diffusion-weighted imaging，DWI）で脳梁膨大部に可逆性高信号域を捉えた低血糖性片麻痺の2例を経験したので文献的考察を加えて報告する．

参考文献

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