Kubo Yoshitaka, Ogasawara Kuniaki, Kurose Akira, Kashimura Hiroshi, Koji Takahiro, Otawara Yasunari, Kamei Jun, Akasaka Manami, Sasaki Makoto, Ogawa Akira
Department of Neurosurgery, Iwate Medical University, Morioka, Japan.
Vasc Health Risk Manag. 2011;7:667-70. doi: 10.2147/VHRM.S23332. Epub 2011 Nov 8.
Intraparenchymal hemorrhage in the full-term neonate rarely occurs more than 2 weeks after birth, and its definitive cause remains unclear. In the present report, a case of a patient with intraparenchymal hemorrhage occurring 33 days after birth is described. Histological examination of the brain tissue obtained during hematoma evacuation through craniotomy showed hemorrhagic infarction. Patent foramen ovale may have been present and this may have led to spontaneous paradoxical cerebral embolism followed by hemorrhagic infarction.
足月儿脑实质内出血很少发生在出生后2周以上,其确切病因尚不清楚。在本报告中,描述了1例出生33天后发生脑实质内出血的患者。通过开颅血肿清除术获取的脑组织的组织学检查显示为出血性梗死。可能存在卵圆孔未闭,这可能导致了自发性反常性脑栓塞,继而发生出血性梗死。