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一名因脑转移瘤导致多发性脑出血的高血压患者。

A hypertensive patient with multiple intracerebral hemorrhages due to brain metastases.

作者信息

Ghitoiu Ana, Rusu Elena Camelia, Slăvoacă Dana, Aigyul Elmi, Popescu Bogdan O

机构信息

Department of Neurology, University Hospital, Bucharest, Romania.

出版信息

J Med Life. 2009 Oct-Dec;2(4):437-9.

PMID:20108758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3019016/
Abstract

We report the case of a 55-year-old man, hypertensive, who presented to the Emergency Room with intense occipital cephaleea, nausea, vomiting and disturbance of balance. The peculiarity of this case was given by the simultaneous presence of two brain hemorrhagic lesions and an unusual hypodensity with digitiform borders at cerebral CT scan, which suggested a different etiology than hypertension and leaded us to further investigations, which confirmed the diagnosis of lung cancer with multiple brain metastases.

摘要

我们报告一例55岁男性高血压患者,其因剧烈枕部头痛、恶心、呕吐及平衡障碍就诊于急诊室。该病例的特殊之处在于脑CT扫描显示同时存在两个脑内出血性病变以及一个边界呈指状的异常低密度影,这提示其病因不同于高血压,促使我们进一步检查,最终确诊为肺癌伴多发脑转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c38/3019016/875ce9b07849/JMedLife-02-437-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c38/3019016/81449daf379f/JMedLife-02-437-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c38/3019016/875ce9b07849/JMedLife-02-437-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c38/3019016/81449daf379f/JMedLife-02-437-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c38/3019016/875ce9b07849/JMedLife-02-437-g002.jpg

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本文引用的文献

1
Intracerebral haemorrhage.脑出血
Lancet. 2009 May 9;373(9675):1632-44. doi: 10.1016/S0140-6736(09)60371-8.
2
Multiple simultaneous intracerebral hemorrhages: clinical features and outcome.多发性同时性脑内出血:临床特征与预后
Arch Neurol. 2001 Apr;58(4):629-32. doi: 10.1001/archneur.58.4.629.
3
Cerebral amyloid angiopathy as a cause of multiple intracerebral hemorrhages.脑淀粉样血管病作为多发性脑出血的一个病因
Neurology. 1984 Jun;34(6):730-5. doi: 10.1212/wnl.34.6.730.
4
Massive brain hemorrhage: a review of 144 cases and an examination of their causes.大量脑出血:144例病例回顾及其病因研究
Stroke. 1973 Nov-Dec;4(6):946-54. doi: 10.1161/01.str.4.6.946.