外伤性脑膜中动脉假性动脉瘤破裂致脑内血肿：一例报告
Intracerebral hematoma caused by ruptured traumatic pseudoaneurysm of the middle meningeal artery : a case report.
作者信息
Lim Dong-Ho, Kim Tae-Sun, Joo Sung-Pil, Kim Soo Han
机构信息
Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea.
出版信息
J Korean Neurosurg Soc. 2007 Nov;42(5):416-8. doi: 10.3340/jkns.2007.42.5.416. Epub 2007 Nov 20.
Abstract
Hematomas caused by ruptured traumatic pseudoaneurysms of the middle meningeal artery (MMA) usually present with extradural hematomas, whereas intradural intraparenchymal hematomas are extremely rare. We report a case of traumatic pseudoaneurysm of the MMA giving rise to an intracerebral hematoma after head trauma. A 70-year-old man suffered a massive intracerebral temporoparietal hemorrhage after a head injury. CT angiogram of the brain revealed a large hematoma in the right middle cranial fossa extending to the right sylvian fissure. Cerebral angiogram also revealed a pseudoaneurysm of the MMA, which was successfully treated surgically. Although traumatic MMA pseudoaneurysm producing intracerebral hematoma (ICH) is rare, it should be considered as a possible cause of intracerebral hematoma.
摘要
由脑膜中动脉（MMA）外伤性假性动脉瘤破裂引起的血肿通常表现为硬膜外血肿，而硬膜内脑实质内血肿极为罕见。我们报告一例MMA外伤性假性动脉瘤在头部外伤后导致脑内血肿的病例。一名70岁男性在头部受伤后发生大量颞顶叶脑内出血。脑部CT血管造影显示右侧中颅窝有一个大血肿，延伸至右侧外侧裂。脑血管造影也显示MMA假性动脉瘤，经手术成功治疗。尽管外伤性MMA假性动脉瘤导致脑内血肿（ICH）很罕见，但应将其视为脑内血肿的可能原因之一。
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