慢性包裹性脑内血肿作为心脏性猝死的偶然发现。
Chronic Encapsulated Intracerebral Hematoma as an Occasional Finding in Sudden Cardiac Death.
作者信息
Feola Alessandro, De Simone Mariavictoria, Ciamarra Paola, Sica Stefania, Buonomo Carmela, Carfora Anna, Campobasso Carlo Pietro
机构信息
Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via Luciano Armanni 5, 80138 Naples, Italy.
Unit of Anatomical Pathology, "Sant'Anna e San Sebastiano" Hospital, Via Ferdinando Palasciano, 81100 Caserta, Italy.
出版信息
Healthcare (Basel). 2022 Oct 17;10(10):2053. doi: 10.3390/healthcare10102053.
Chronic encapsulated intracerebral hematoma (CEIH) is a rare solid mass characterized by the presence of a fibrotic capsule that can present a variety of signs and symptoms due to the mass effect and hydrocephalus. It may be caused by post-traumatic or spontaneous bleeding as related to an adjacent aneurysm, angiomas or neoplasms. Differential diagnosis must be applied in order for it to mimic neoplasm or a vascular malformation. Several cases of CEIH have been reported but only a few of them have an intraventricular localization. A forensic autopsy of a 50-year-old male who died suddenly while driving is discussed. Gross analysis, histology and toxicology were performed and a CEIH of the right lateral ventricle was found in a case of acute coronary death.
慢性包裹性脑内血肿（CEIH）是一种罕见的实性肿块，其特征是存在纤维化包膜，由于占位效应和脑积水可出现多种体征和症状。它可能由创伤后或与相邻动脉瘤、血管瘤或肿瘤相关的自发性出血引起。必须进行鉴别诊断，以使其与肿瘤或血管畸形相鉴别。已有数例CEIH的报道，但其中只有少数位于脑室内。本文讨论了一名50岁男性在驾车时突然死亡的法医尸检情况。进行了大体分析、组织学检查和毒理学检查，在一例急性冠状动脉死亡病例中发现右侧脑室有CEIH。
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