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矢状窦旁脑膜瘤继发自发性脑出血：一例报告并文献复习

Spontaneous Intracerebral Hemorrhage Secondary to a Parasagittal Meningioma: A Case Report and Review of the Literature.

作者信息

Reier Louis, Mao Christina, Hough Jordan, Pudewa Fiona, Siddiqi Imran, Marino Maxwell A, Alastra Anthony

机构信息

Neurosurgery, Arrowhead Regional Medical Center, Colton, USA.

General Surgery, Valley Health System, Las Vegas, USA.

出版信息

Cureus. 2023 Oct 11;15(10):e46863. doi: 10.7759/cureus.46863. eCollection 2023 Oct.

DOI:10.7759/cureus.46863
PMID:37954803
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10637778/
Abstract

Meningiomas are the most prevalent tumors within the central nervous system, with most exhibiting benign characteristics. While they are often discovered incidentally, their growth can lead to symptoms such as headaches, visual changes, dizziness, and seizures. Intratumoral hemorrhage (ITH) within meningiomas is a rare occurrence. This phenomenon carries a poor prognosis, as evidenced by significant rates of morbidity and mortality. This case report describes a unique case of a 52-year-old male who experienced a spontaneous right parietal lobe intracerebral hemorrhage adjacent to the superior sagittal sinus. Subsequent investigations revealed this to be an ITH due to an underlying WHO-grade I meningioma. This case emphasizes that while ITH in meningiomas is rare, prompt recognition and surgical intervention ensure optimal patient outcomes.

摘要

脑膜瘤是中枢神经系统中最常见的肿瘤，大多数表现为良性特征。虽然它们常常是偶然发现的，但肿瘤生长可导致头痛、视力变化、头晕和癫痫发作等症状。脑膜瘤内的瘤内出血（ITH）是一种罕见情况。这种现象预后较差，发病率和死亡率很高就是证明。本病例报告描述了一例独特病例，一名52岁男性，在矢状窦旁出现自发性右顶叶脑出血。后续检查发现这是由潜在的世界卫生组织一级脑膜瘤引起的瘤内出血。该病例强调，虽然脑膜瘤内的瘤内出血罕见，但及时识别和手术干预可确保患者获得最佳治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/3d5834c323e7/cureus-0015-00000046863-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/2d8a50f489e2/cureus-0015-00000046863-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/424e5e509756/cureus-0015-00000046863-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/55ba2db298db/cureus-0015-00000046863-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/d04ff06b9c2e/cureus-0015-00000046863-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/370601440982/cureus-0015-00000046863-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/377eaea508b8/cureus-0015-00000046863-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/3d5834c323e7/cureus-0015-00000046863-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/2d8a50f489e2/cureus-0015-00000046863-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/424e5e509756/cureus-0015-00000046863-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/55ba2db298db/cureus-0015-00000046863-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/d04ff06b9c2e/cureus-0015-00000046863-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/370601440982/cureus-0015-00000046863-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/377eaea508b8/cureus-0015-00000046863-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae9/10637778/3d5834c323e7/cureus-0015-00000046863-i07.jpg

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本文引用的文献

1
Systematic Review of Meningiomas Revealed by Spontaneous Intracranial Hemorrhage: Clinicopathological Features, Outcomes, and Rebleeding Rate.自发性颅内出血所致脑膜瘤的系统评价：临床病理特征、转归及再出血率
World Neurosurg. 2023 Apr;172:e625-e639. doi: 10.1016/j.wneu.2023.01.100. Epub 2023 Feb 2.
2
Radiological classification of meningiomas with hemorrhagic onset and its clinical significance.出血性起病的脑膜瘤的影像学分类及其临床意义。
Oncol Lett. 2022 Aug 12;24(4):341. doi: 10.3892/ol.2022.13461. eCollection 2022 Oct.
3
A Rare Case of Life-Threatening Multicompartmental Spontaneous Intracranial Hemorrhage From a Grade 1 Convexity Meningioma.
1级凸面脑膜瘤导致危及生命的多腔室自发性颅内出血的罕见病例。
Cureus. 2021 Nov 1;13(11):e19178. doi: 10.7759/cureus.19178. eCollection 2021 Nov.
4
Misdiagnosis and Delay of Diagnosis in Hemorrhagic Meningioma: A Case Series and Review of the Literature.《出血性脑膜瘤的误诊和延迟诊断：病例系列及文献回顾》
World Neurosurg. 2021 Nov;155:e836-e846. doi: 10.1016/j.wneu.2021.09.020. Epub 2021 Sep 11.
5
Incidence of Benign Meningiomas in the United States: Current and Future Trends.良性脑膜瘤在美国的发病率：当前和未来趋势。
JNCI Cancer Spectr. 2021 Apr 8;5(3). doi: 10.1093/jncics/pkab035. eCollection 2021 Jun.
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Rhabdoid meningiomas: Clinicopathological analysis of a rare variant of meningioma.横纹肌样脑膜瘤：脑膜瘤罕见亚型的临床病理分析。
Clin Neurol Neurosurg. 2021 Aug;207:106778. doi: 10.1016/j.clineuro.2021.106778. Epub 2021 Jun 24.
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Intracranial Hemorrhage from Meningioma: 2 Novel Risk Factors.脑膜瘤所致颅内出血：2 个新的危险因素。
World Neurosurg. 2020 Mar;135:217-221. doi: 10.1016/j.wneu.2019.10.173. Epub 2019 Nov 4.
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Treatment Strategy for Recurrent Hemorrhage from Meningioma: Case Report and Literature Review.脑膜瘤复发出血的治疗策略：病例报告与文献综述
World Neurosurg. 2019 Apr;124:75-80. doi: 10.1016/j.wneu.2018.12.124. Epub 2019 Jan 5.
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Lung metastases from intracranial bleeding meningioma: A case report.颅内出血性脑膜瘤的肺转移：一例报告。
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