当科の白石啓太朗先生が執筆した症例報告がSurgical Neurology
International誌に掲載されました。くも膜下出血＋硬膜下出血で発症した脊髄馬尾から発生した神経鞘腫の症例で、無事に全摘出しました。術中、腫瘍内で発生した出血が腫瘍下端からくも膜下腔に穿破して、さらにくも膜の一部を破壊して硬膜下腔まで出血が及んでいました。組織学的には、腫瘍内に多数の変性血管が存在しており出血源になったと考えられます。
最近は、大規模な臨床研究ばかりがもてはやされる傾向があり、若い先生たちも症例報告を書くことにそれほど熱心ではありません。しかし、「症例報告に始まり、症例報告に終わる」と言われるほど、症例報告には、論文を書くためのノウハウが凝縮されており、若い先生たちは日本語、英語を問わず、ぜひ貪欲に取り組んでほしいと願っています。いつもであれば黒田が彼らに「書け、書け」と発破をかけて、ようやく原稿が完成してきますが、今回は黒田が何も言わなくても、白石先生が原稿を書いてくれて、いい意味で大変驚いた論文です。
Boys and girls, be ambitious!
The Long & Winding Road To Be A Neurosurgeon Vol. 57
A case report written by Dr. Keitaro Shiraishi at our department was published in Surgical Neurology
International. This is a case of a schwannoma arising from the cauda equina of the spinal cord, which presented with subarachnoid hemorrhage and subdural hemorrhage, and was successfully removed. During surgery, the bleeding that occurred within the tumor perforated the subarachnoid space from the lower tip of the tumor, further destroying part of the arachnoid membrane and spreading the bleeding to the subdural space. Histologically, there were numerous degenerative blood vessels in the tumor, which may have been the source of the hemorrhage.
Recently, there is a tendency to focus only on large-scale clinical studies, and young doctors are not so enthusiastic about writing case reports. However, it is said that “it begins and ends with the case report,” and the know-how for writing a paper is condensed in the case report, and I strongly hope that young doctors will be eager to work on it, regardless of whether it is in Japanese or English. Usually, I would tell them to “write, write, write” and the manuscript would finally be completed, but this time, Dr. Shiraishi wrote the manuscript without my saying anything, which surprised me very much in a good way.
Boys and girls, be ambitious!
