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由海绵状血管瘤引起的非动脉瘤性脑桥旁脑池蛛网膜下腔出血。

Non-aneurysmal perimesencephalic subarachnoid hemorrhage caused by a cavernous angioma.

机构信息

Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

出版信息

Neurocrit Care. 2011 Feb;14(1):84-5. doi: 10.1007/s12028-010-9455-x.

DOI:10.1007/s12028-010-9455-x
PMID:21046281
Abstract

BACKGROUND

Cavernous angiomas are responsible for intracranial hemorrhages, but bleeding is infrequently confined to the subarachnoid space.

METHODS

We describe an elderly, yet healthy man who sought medical attention for subarachnoid hemorrhage.

RESULTS

Vascular imaging failed to reveal a cerebral aneurysm, however magnetic resonance imaging done late in the course showed a cavernous angioma, on the surface of the left upper cerebellar peduncle, that had bled.

CONCLUSIONS

The so-called "angiography-negative" subarachnoid hemorrhage could have its source in small cavernous angiomas lying on the surface of basal skull brain structures.

摘要

背景

海绵状血管畸形可导致颅内出血,但出血很少局限于蛛网膜下腔。

方法

我们描述了一位老年但健康的男性,因蛛网膜下腔出血而寻求医疗救治。

结果

血管成像未能发现脑动脉瘤,但在病程后期进行的磁共振成像显示,左上部小脑脚表面有一个海绵状血管畸形出血。

结论

所谓的“血管造影阴性”蛛网膜下腔出血可能源自位于颅底脑结构表面的小海绵状血管畸形。

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本文引用的文献

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Comparison between perimesencephalic nonaneurysmal subarachnoid hemorrhage and subarachnoid hemorrhage caused by posterior circulation aneurysms.中脑周围非动脉瘤性蛛网膜下腔出血与后循环动脉瘤所致蛛网膜下腔出血的比较。
J Neurosurg. 2003 Mar;98(3):529-35. doi: 10.3171/jns.2003.98.3.0529.
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Perimesencephalic nonaneurysmal subarachnoid hemorrhage: first hint of a cause?中脑周围非动脉瘤性蛛网膜下腔出血:病因的首个线索?
Neurology. 1997 Aug;49(2):634-6. doi: 10.1212/wnl.49.2.634.
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Cavernous angioma of the diencephalon.间脑海绵状血管瘤
一名年轻女性因脑海绵状血管畸形导致蛛网膜下腔出血
Neurohospitalist. 2022 Oct;12(4):669-671. doi: 10.1177/19418744221112133. Epub 2022 Jun 30.
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Cerebral cavernous malformation in a child leading to a fatal subarachnoid hemorrhage - "silent but sinister:" A case report and literature review.儿童脑海绵状血管畸形导致致命性蛛网膜下腔出血——“无声却凶险”:一例病例报告及文献综述
Surg Neurol Int. 2021 Jun 7;12:253. doi: 10.25259/SNI_248_2021. eCollection 2021.
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Is there added value in obtaining cervical spine MRI in the assessment of nontraumatic angiographically negative subarachnoid hemorrhage? A retrospective study and meta-analysis of the literature.在非创伤性血管造影阴性蛛网膜下腔出血的评估中,获得颈椎 MRI 是否有附加价值?一项回顾性研究和文献荟萃分析。
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Surg Neurol Int. 2017 Aug 22;8:202. doi: 10.4103/sni.sni_210_17. eCollection 2017.
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