Hashiguchi Akihito, Morioka Motohiro, Ichimura Homare, Mimata Chikara, Kuratsu Jun-Ichi
Division of Neurosurgery, Shinbeppu Hospital, Beppu-City, Oita 874-0833, Japan.
Clin Neurol Neurosurg. 2007 Apr;109(3):302-4. doi: 10.1016/j.clineuro.2006.12.002. Epub 2007 Jan 12.
We report a patient with recurrent glioblastoma, in whom serial magnetic resonance angiography (MRA) demonstrated gradual enlargement of an artery feeding the tumor and the development of an intratumoral aneurysm that led to intratumoral hemorrhage. The literature contains no previous reports that clinically document intratumoral aneurysms arising from these vessels. This is a rare case of glioblastoma in which the association of an intratumoral feeding-artery aneurysm, whose rupture led to intratumoral bleeding, was documented by serial MRA imaging and follow-up.
我们报告了一名复发性胶质母细胞瘤患者,其系列磁共振血管造影(MRA)显示为肿瘤供血的动脉逐渐增粗,并出现了一个瘤内动脉瘤,该动脉瘤导致了瘤内出血。此前文献中尚无临床记录这些血管产生瘤内动脉瘤的报道。这是一例罕见的胶质母细胞瘤病例,通过系列MRA成像和随访记录了瘤内供血动脉动脉瘤破裂导致瘤内出血的情况。