Pascual J, Diez C, Carda J R, Vázquez-Barquero A
Section of Neurology, National Hospital Marqués de Valdecilla, Santander, Spain.
Postgrad Med J. 1987 Sep;63(743):785-7. doi: 10.1136/pgmj.63.743.785.
Intraventricular haemorrhage occurred in a patient with a parietal rim-enhancing mass on computed tomographic scan. At operation a brain abscess was identified and removed. Peptostreptococcus and fusobacterium were isolated, possibly of dental origin. The possible sources of this intracranial bleeding are discussed. A neoplasm should not always be considered in the case of a cerebral ring-enhancing mass complicated with intracranial bleeding; in selected cases, brain abscess should be excluded too.
一名患者在计算机断层扫描上显示顶叶有边缘强化肿块，并发脑室内出血。手术中发现并切除了一个脑脓肿。分离出消化链球菌和梭杆菌，可能源于牙科。本文讨论了这种颅内出血的可能来源。对于伴有颅内出血的脑环形强化肿块，不应总是考虑肿瘤；在某些情况下，也应排除脑脓肿。
