Chrastina J, Novák Z, Riha I, Ghallab K
Neurochirurgická klinika LF MU, FN u sv. Anny v Brnĕ.
Rozhl Chir. 2009 Oct;88(10):549-53.
The aim of the study is to present a case report describing patient, admitted for subdural haematoma located on temporal lobe base and brain convexity with intracerebral haematoma located in the depth of temporal lobe. Both haematomas were evacuated from burr holes. Histological analysis of tissue obtained during intracerebral haematoma aspiration has proven tumorous tissue consistent with anaplastic astrocytoma. Contrast enhanced MRI has confirmed the diagnosis and patient underwent tumor surgery. The study brings additional data to differential diagnosis of subdural haematoma, especially of non traumatic origin. When compared with meningiomas and metastatic tumors primary brain glioma is an exceptional cause of subdural haematoma of non traumatic origin.
本研究的目的是呈现一份病例报告，描述一名因颞叶底部硬膜下血肿和脑凸面硬膜下血肿入院的患者，同时脑内血肿位于颞叶深部。两个血肿均通过钻孔引流清除。对脑内血肿抽吸过程中获取的组织进行组织学分析，证实为与间变性星形细胞瘤一致的肿瘤组织。增强磁共振成像（MRI）已确诊，患者接受了肿瘤手术。该研究为硬膜下血肿，尤其是非创伤性起源的硬膜下血肿的鉴别诊断提供了更多数据。与脑膜瘤和转移性肿瘤相比，原发性脑胶质瘤是非创伤性起源硬膜下血肿的罕见原因。
