Martínez-Lage J F, Poza M, Martínez M, Esteban J A, Antúnez M C, Sola J
Regional Neurosurgical Service, Hospital Virgen de Arrixaca, Murcia, Spain.
Acta Neurochir (Wien). 1991;110(3-4):129-32. doi: 10.1007/BF01400680.
Classically meningiomas present and evolve with a progressive course. Meningiomas manifest themselves mainly in middle and old age when the incidence of strokes is higher. The authors report three instances of meningioma with acute haemorrhagic onset. The clinical picture of our cases consisted of subarachnoid bleeding, subdural hematoma and intracerebral haemorrhage respectively. The diagnostic difficulties encountered when assessing these patients are discussed. The current literature regarding meningioma associated with haemorrhage is reviewed. One of our cases seems to be the first reported case of subarachnoid haemorrhage originating from a meningioma of the petrous bone.
传统上，脑膜瘤呈进行性病程发展。脑膜瘤主要在中风发病率较高的中老年期出现。作者报告了3例急性出血起病的脑膜瘤病例。我们病例的临床表现分别为蛛网膜下腔出血、硬膜下血肿和脑内出血。讨论了评估这些患者时遇到的诊断困难。回顾了目前关于与出血相关的脑膜瘤的文献。我们的其中1例病例似乎是首例报道的起源于岩骨脑膜瘤的蛛网膜下腔出血病例。
