Beretta L, Dell'Acqua A, Giorgi E, Napolitano L, Tommasino C, Righi C, Ferrari da Passano C, Motti E
Servizio di Anestesia e Rianimazione, Istituto Scientifico H San Raffaele, Milano.
Minerva Anestesiol. 1992 Apr;58(4 Suppl 1):111-4.
We report a rare case of meningioma of the parieto-occipital convexity accompanied by hemorrhage in the tumor and in the subdural space that occurred while pre-operative embolization was being applied. The patient, a 48 year old woman, presented sudden headache and, in a few minutes, comatose status and decerebrate rigidity. A quick diagnosis with CT-scan of acute intratumoral and subdural hemorrhage and a rapid intervention on the patient led to complete recovery. The possible reason for the hemorrhage is the sudden change in blood pressure of pathologic small vessels triggered by embolization.
我们报告了一例罕见的顶枕叶凸面脑膜瘤病例,该肿瘤在术前进行栓塞治疗时出现肿瘤内及硬膜下出血。患者为一名48岁女性,突发头痛,几分钟后陷入昏迷状态并出现去大脑强直。通过CT扫描快速诊断为急性肿瘤内及硬膜下出血,并对患者迅速进行干预,使其完全康复。出血的可能原因是栓塞引发的病理性小血管血压突然变化。