Autopsy case of undiagnosed gangliocytoma in the medulla oblongata complicated with cerebral palsy

作者：Takahashi Motonori^*; Kondo Takeshi; Morichika Mai; Kuse Azumi; Nakagawa Kanako; Asano Migiwa; Ueno Yasuhiro

来源：Legal Medicine, 2016, 19: 119-121.

DOI：10.1016/j.legalmed.2015.07.009

• Medicolegal autopsy
• Brain stem
• Medullary respiratory center
• Cerebellar atrophy

A Japanese man in his 30s who had congenital cerebral palsy was found unresponsive in bed. His death was confirmed after resuscitation attempts. He had a history of occasional falling (despite the use of walking sticks and a wheelchair) owing to a slowly progressive gait disturbance, and had a medical examination without full neurological re-examination. Autopsy revealed gangliocytoma in the medulla oblongata, which was diagnosed as the cause of death. Although gangliocytoma is a well-differentiated benign tumor, the almost total replacement of the medulla oblongata by the tumor cells was assumed to result in ataxia via the olivocerebellar tract and secondary cerebellar atrophy, followed by central hypoventilation and death of the patient. The symptoms caused by gangliocytoma may be overlooked owing to long-standing cerebral palsy.

• 出版日期2016-3