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[颅内脑膜瘤术前栓塞期间的并发症]

[Complications during preoperative embolization in intracranial meningioma].

作者信息

Beretta L, Dell'Acqua A, Giorgi E, Napolitano L, Tommasino C, Righi C, Ferrari da Passano C, Motti E

机构信息

Servizio di Anestesia e Rianimazione, Istituto Scientifico H San Raffaele, Milano.

出版信息

Minerva Anestesiol. 1992 Apr;58(4 Suppl 1):111-4.

PMID:1620427
Abstract

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.

摘要

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。

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