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[静脉血管瘤伴小脑出血]

[Venous angioma with associated cerebellar haemorrhage].

作者信息

Sánchez Medina Yanire, Pérez del Rosario Pedro Antonio, Domínguez Jaime, Millán Ana

机构信息

Servicio de Neurocirugía, Hospital Nuestra Señora de Candelaria, Tenerife, España.

出版信息

Neurocirugia (Astur). 2013 Mar-Apr;24(2):88-92. doi: 10.1016/j.neucir.2011.09.003. Epub 2012 Dec 5.

Abstract

Venous angiomas are a developmental anomaly in which embryonic venous drainage is still present into adulthood. They are usually asymptomatic and benign course but they can cause seizures and less commonly bleeding, usually associated to cavernous malformation. Normally, treatment is not necessary although bleeding, severe clinical and lesions in which it is possible a favourable approach, we can consider treatment. We show a case of a 11 years old boy with acute decrease level of consciousness. We observed hematoma in the right cerebellar hemisphere with radial tubular structures consistent with developmental venous anomaly. The hematoma was evacuated without a demonstrable other reason justifying the bleeding.

摘要

静脉血管瘤是一种发育异常,其中胚胎期的静脉引流在成年期仍然存在。它们通常无症状且病程良性,但可导致癫痫发作,较少见的是出血,通常与海绵状畸形相关。通常情况下,无需治疗,不过对于出血、严重临床症状以及有可能采取有利治疗方法的病变,我们可以考虑治疗。我们展示了一例11岁男孩意识水平急性下降的病例。我们观察到右小脑半球有血肿,伴有与发育性静脉异常相符的放射状管状结构。血肿被清除,且没有可证明的其他导致出血的原因。

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