Mabuchi S, Kamiyama H, Iwasaki Y, Abe H
Department of Neurosurgery, Hokkaido University.
No Shinkei Geka. 1991 Jul;19(7):677-9.
Encapsulated intracerebral hematomas mimicking a brain tumor have been reported as a rare occurrence. An additional case with a characteristic feature found on computed tomography (CT), and a clinical course is described. CT scans revealed a high density mass with peripheral low density in the brain. A hematoma was successfully removed and found to have a thick and multilobular fibrous capsule associated with cavernous hemangioma. Repeated hemorrhage due to vascular malformation was considered to have contributed to the formation of the capsule. Increasing awareness of the possibility of an encapsulated intracerebral hematoma as a clinical and pathological entity, would enable us to make a correct diagnosis and to select proper treatment. A thorough survey of occult vascular malformation is necessary in surgery.
据报道,酷似脑肿瘤的包膜内脑内血肿是一种罕见的情况。本文描述了另外一例在计算机断层扫描(CT)上发现具有特征性表现的病例及其临床过程。CT扫描显示脑内有一个高密度肿块,周边为低密度。一个血肿被成功切除,发现其有一个与海绵状血管瘤相关的厚且多叶的纤维包膜。血管畸形导致的反复出血被认为促成了包膜的形成。提高对包膜内脑内血肿作为一种临床和病理实体的可能性的认识,将使我们能够做出正确的诊断并选择合适的治疗方法。手术中对隐匿性血管畸形进行全面检查是必要的。