Lupret V, Smiljanić D
Zavod za neurokirurgiju, KB Sestre milosrdnice, Zagreb.
Lijec Vjesn. 1991 May-Jun;113(5-6):154-8.
In this review current views of etiology, pathophysiology, essential data in clinical course and modes of treatment of non-traumatic intracranial hemorrhages are presented. Aneurysms, vascular malformations and "spontaneous hemorrhages" (caused by atherosclerosis accompanied by hypertension or systemic diseases) are most common causes of non-traumatic intracranial hemorrhages. These hemorrhages are rarely caused by rupture of intracranial tumor vessels. Personal experiences in the treatment of patients suffering from intracranial hemorrhage caused by rupture of aneurysm, vascular malformation or artherosclerotic vessel after sudden raise of blood pressure are presented. Current modes of treatment based on personal experience and experiences of well-known authorities are given.
本综述介绍了非创伤性颅内出血的病因、病理生理学、临床病程的关键数据以及治疗方式的当前观点。动脉瘤、血管畸形和“自发性出血”(由伴有高血压或全身性疾病的动脉粥样硬化引起)是非创伤性颅内出血最常见的原因。这些出血很少由颅内肿瘤血管破裂引起。文中介绍了治疗因动脉瘤、血管畸形或血压突然升高后动脉粥样硬化血管破裂导致颅内出血患者的个人经验。基于个人经验和知名权威人士的经验给出了当前的治疗方式。