Kechagias E, Ioakimidou C, Georgakoulias N, Seretis A, Kontogeorgos G
Department of Neurosurgery, General Hospital of Athens 'G. Gennimatas', Athens, Greece.
Case Rep Neurol. 2010 Sep 12;2(3):118-121. doi: 10.1159/000320925.
This case report is a presentation of a chronic intraventricular encapsulated hematoma in an adult who presented with gait disturbance, fever, palsy of N. III, N. VI and N. VII, and photophobia. Ophthalmoscopy revealed a bilateral papilledema. Computed tomography scans and magnetic resonance imaging revealed an intraventricular mass in the lateral ventricle. Preoperative diagnosis could not rule out a neoplasm. The lesion was totally removed with open surgery and was found to be a chronic intraventricular encapsulated hematoma. A chronic intraventricular encapsulated hematoma is a rare entity. After the removal of the mass, the clinical symptoms of the patient gradually resolved.
本病例报告介绍了一名成年患者的慢性脑室内包裹性血肿,该患者表现为步态障碍、发热、动眼神经、展神经和面神经麻痹以及畏光。眼底镜检查显示双侧视乳头水肿。计算机断层扫描和磁共振成像显示侧脑室内有一肿块。术前诊断不能排除肿瘤。通过开放手术将病变完全切除,发现是一个慢性脑室内包裹性血肿。慢性脑室内包裹性血肿是一种罕见的病症。肿块切除后,患者的临床症状逐渐缓解。