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直回血肿:概述

Rectus gyrus hematoma: An overview.

作者信息

Ismail Mustafa, Elamin Osman, Al-Ageely Teeba A, Algburi Hagar A, Sharma Mayur, Aljuboori Zaid, Hoz Samer S, Andaluz Norberto

机构信息

Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq.

Department of Neurosurgery, Jordan Hospital and Medical Center, Amman, Jordan.

出版信息

Surg Neurol Int. 2022 Dec 2;13:558. doi: 10.25259/SNI_1023_2022. eCollection 2022.

DOI:10.25259/SNI_1023_2022
PMID:36600763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9805629/
Abstract

BACKGROUND

Rectus gyrus hematoma (RGH) is a localized intracerebral hemorrhage involving the most medial part of the orbital surface of the frontal lobe. It can be an imaging finding in the setting of a ruptured anterior communicating artery aneurysm; however, other differentials are rarely reported in the literature. In this paper, we opt to present for the 1 time an overview of RGH regarding its history, anatomical correlation, and related neuroimaging with particular emphasis on the potential differential diagnosis for underlying pathologies.

METHODS

A literature review was conducted in PubMed, Medline, and Google scholar databases to review the existing literature highlighting the history, pertinent anatomy, and clinical characteristics of RGH.

RESULTS

The literature review yielded papers targeting the RGH neither as a radiological sign nor as a surgical correlate to the cerebrovascular lesion. We used the available indirectly related articles to formulate an overview to serve the aim of this paper and to highlight the potential value of studying the RGH.

CONCLUSION

The RGH may represent an overlooked radiological finding that has potential significance through its relation to a set of vascular lesions affecting the brain. Further studies into the topic are needed to expand the utility of this sign.

摘要

背景

直回血肿(RGH)是一种局限性脑出血,累及额叶眶面最内侧部分。它可能是前交通动脉瘤破裂时的影像学表现;然而,文献中很少报道其他不同的病因。在本文中,我们首次选择对RGH的病史、解剖学关联及相关神经影像学进行综述,特别强调对潜在基础病变的鉴别诊断。

方法

在PubMed、Medline和谷歌学术数据库中进行文献综述,以回顾现有文献中关于RGH的病史、相关解剖学和临床特征。

结果

文献综述未找到将RGH作为放射学征象或与脑血管病变手术相关的研究论文。我们利用现有的间接相关文章来形成综述,以服务于本文的目的,并突出研究RGH的潜在价值。

结论

RGH可能是一个被忽视的放射学发现,通过其与一系列影响大脑的血管病变的关系具有潜在意义。需要对该主题进行进一步研究,以扩大这一征象的应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bc/9805629/99d4e8aba3eb/SNI-13-558-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bc/9805629/8078c0d281c1/SNI-13-558-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bc/9805629/99d4e8aba3eb/SNI-13-558-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bc/9805629/8078c0d281c1/SNI-13-558-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bc/9805629/99d4e8aba3eb/SNI-13-558-g002.jpg

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本文引用的文献

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Surgical Resection of an Arteriovenous Malformation of the Orbital Surface of the Frontal Lobe with Olfactory Tract Preservation: 2-Dimensional Operative Video.经嗅觉径路保留的额叶眶面动静脉畸形的手术切除:二维手术视频。
World Neurosurg. 2022 Feb;158:156-157. doi: 10.1016/j.wneu.2021.11.031. Epub 2021 Nov 17.
2
Relationship between Gyrus Rectus Resection and Cognitive Impairment after Surgery for Ruptured Anterior Communicating Artery Aneurysms.破裂性前交通动脉瘤手术后直回切除术与认知障碍的关系
J Cerebrovasc Endovasc Neurosurg. 2016 Sep;18(3):223-228. doi: 10.7461/jcen.2016.18.3.223. Epub 2016 Sep 30.
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Areas of Brain Damage Underlying Increased Reports of Behavioral Disinhibition.
行为抑制增加背后的脑损伤区域。
J Neuropsychiatry Clin Neurosci. 2015 Summer;27(3):193-8. doi: 10.1176/appi.neuropsych.14060126. Epub 2015 May 11.
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Restricted left gyrus rectus hemorrhage with unusual frontal syndrome presentation.左侧直回局限性出血伴不典型额叶综合征表现。
Eur Neurol. 2011;65(3):129-31. doi: 10.1159/000324305. Epub 2011 Jan 12.
5
The microsurgical anatomy of the gyrus rectus area and its neurosurgical implications.直回区的显微外科解剖及其神经外科意义。
Arq Neuropsiquiatr. 2009 Mar;67(1):90-5. doi: 10.1590/s0004-282x2009000100021.
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Anterior ethmoidal artery aneurysm and intracerebral hemorrhage.筛前动脉动脉瘤与脑出血。
AJNR Am J Neuroradiol. 2006 Sep;27(8):1672-4.
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