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中风性脑出血:脑放射性坏死的一种罕见并发症。

Apoplectic intracerebral hemorrhage: an unusual complication of cerebral radiation necrosis.

作者信息

Woo E, Chan Y F, Lam K, Lok A S, Yu Y L, Huang C Y

出版信息

Pathology. 1987 Jan;19(1):95-8. doi: 10.3109/00313028709065146.

DOI:10.3109/00313028709065146
PMID:3588032
Abstract

A patient with apoplectic intracerebral hemorrhage from delayed cerebral radionecrosis is reported. The histological changes of abnormal telangiectatic vessels account for the unusual clinical presentation. The pathogenesis and treatment of radionecrosis are discussed, and massive hemorrhage as a complication is emphasized.

摘要

报告了一例因迟发性脑放射性坏死导致的出血性脑卒中患者。异常毛细血管扩张性血管的组织学变化解释了其不寻常的临床表现。讨论了放射性坏死的发病机制和治疗方法,并强调了大出血作为一种并发症的情况。

相似文献

1
Apoplectic intracerebral hemorrhage: an unusual complication of cerebral radiation necrosis.中风性脑出血:脑放射性坏死的一种罕见并发症。
Pathology. 1987 Jan;19(1):95-8. doi: 10.3109/00313028709065146.
2
Delayed intracerebral radiation necrosis occurring a decade after conventional radiotherapy in a patient of diffuse astrocytoma.一名弥漫性星形细胞瘤患者在接受传统放疗十年后发生迟发性脑内放射性坏死。
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Acute hemorrhage in late radiation necrosis of the temporal lobe: report of five cases and review of the literature.
J Neurooncol. 2001 Jan;51(2):143-50. doi: 10.1023/a:1010631112015.
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Conservative treatment of delayed cerebral radiation necrosis.迟发性脑放射性坏死的保守治疗
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Delayed intracerebral hemorrhage after CSF shunt for communicating "normal-pressure" hydrocephalus. Case report.
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Congophilic angiopathy with intracerebral hemorrhage.伴有脑出血的嗜刚果红血管病
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[Delayed cerebral radionecrosis following radiation therapy of cutaneous squamous cell carcinomas of the head].
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Delayed radiation encephalopathy after radiotherapy for nasopharyngeal cancer: a CT study of 45 cases.鼻咽癌放疗后迟发性放射性脑病:45例CT研究
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Hemangioblastoma presenting with intraparenchymatous hemorrhage.表现为脑实质内出血的血管母细胞瘤。
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Cerebral radionecrosis in patients with nasopharyngeal carcinoma.鼻咽癌患者的脑放射性坏死
Kaohsiung J Med Sci. 2005 Oct;21(10):452-9. doi: 10.1016/S1607-551X(09)70150-0.

引用本文的文献

1
Cerebral Radiation Necrosis: Incidence, Pathogenesis, Diagnostic Challenges, and Future Opportunities.脑放射性坏死:发生率、发病机制、诊断挑战和未来机遇。
Curr Oncol Rep. 2019 Jun 19;21(8):66. doi: 10.1007/s11912-019-0818-y.
2
Combined use of susceptibility weighted magnetic resonance imaging sequences and dynamic susceptibility contrast perfusion weighted imaging to improve the accuracy of the differential diagnosis of recurrence and radionecrosis in high-grade glioma patients.联合使用磁共振成像敏感性加权序列和动态磁敏感对比灌注加权成像以提高高级别胶质瘤患者复发与放射性坏死鉴别诊断的准确性。
Oncotarget. 2017 Mar 21;8(12):20340-20353. doi: 10.18632/oncotarget.13050.
3
Near fatal haemorrhage 35 years after radiation for laryngeal cancer: emergency embolisation of a vertebral artery aneurysm.
喉癌放疗35年后发生近乎致命的出血:椎动脉动脉瘤的急诊栓塞治疗
Emerg Med J. 2006 Apr;23(4):e26. doi: 10.1136/emj.2005.027896.
4
Recurrent delayed brain hemorrhage over years after irradiation and chemotherapy for astrocytoma.星形细胞瘤放疗和化疗多年后反复出现迟发性脑内出血。
Eur Radiol. 2003 Aug;13(8):1891-4. doi: 10.1007/s00330-002-1635-4. Epub 2002 Nov 7.
5
Acute hemorrhage in late radiation necrosis of the temporal lobe: report of five cases and review of the literature.
J Neurooncol. 2001 Jan;51(2):143-50. doi: 10.1023/a:1010631112015.
6
Late radiation necrosis of the brain: case report.脑迟发性放射性坏死:病例报告
J Neurooncol. 1993 Jul;17(1):37-42. doi: 10.1007/BF01054272.
7
Temporal lobe and hypothalamic-pituitary dysfunctions after radiotherapy for nasopharyngeal carcinoma: a distinct clinical syndrome.鼻咽癌放疗后颞叶及下丘脑 - 垂体功能障碍:一种独特的临床综合征。
J Neurol Neurosurg Psychiatry. 1988 Oct;51(10):1302-7. doi: 10.1136/jnnp.51.10.1302.