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脑膜瘤在罕见情况下可表现为颅内出血:一例有轻微外伤史及大量颅内出血患者的病例报告。

Meningiomas Can Present as Intracranial Hemorrhage in Rare Cases: A Case Report of a Patient With a History of Minor Trauma and Massive Intracranial Hemorrhage.

作者信息

Jenson Matthew, Nguyen Quoc-Han, Fiester Peter, Patel Jeet, Rao Dinesh

机构信息

Neuroradiology, University of Florida Health, Jacksonville, USA.

Radiology, University of Florida Health, Jacksonville, USA.

出版信息

Cureus. 2022 Jun 10;14(6):e25823. doi: 10.7759/cureus.25823. eCollection 2022 Jun.

Abstract

Meningiomas are relatively common intracranial tumors. While typically discovered incidentally or related to symptoms from regional mass effect, on rare occasions, they can present as acute intracranial hemorrhage. We report a case of a 62-year-old male who presented with significant acute intracranial hemorrhage with a history of minor trauma. Imaging workup demonstrated a hemorrhagic mass to be the likely cause of the hemorrhage. Upon resection of the mass, pathology demonstrated meningioma. It is important to thoroughly investigate intracranial hemorrhage, particularly when it appears out of proportion to any known causative event, in order to accurately diagnose, manage, and treat these patients.

摘要

脑膜瘤是相对常见的颅内肿瘤。虽然通常是偶然发现或与局部占位效应引起的症状相关,但在极少数情况下,它们可表现为急性颅内出血。我们报告一例62岁男性,有轻微外伤史,出现大量急性颅内出血。影像学检查显示出血性肿块可能是出血原因。切除肿块后,病理显示为脑膜瘤。对于颅内出血进行全面检查很重要,特别是当出血情况与任何已知的致病事件不成比例时,以便准确诊断、处理和治疗这些患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c40/9271313/73c70014afa7/cureus-0014-00000025823-i01.jpg

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