Moritake K, Handa H, Nozaki K, Tomiwa K
Neurosurgery. 1985 Feb;16(2):207-11. doi: 10.1227/00006123-198502000-00013.
A cavernous angioma of the tentorium cerebelli, first disclosed by perinatal serial ultrasonographic studies, was extirpated totally without remarkable neurological deficit in a neonate. The tumor was accompanied by a calcified expansive hematoma in the posterior fossa. To our knowledge, this is the first case not only of cavernous angioma treated surgically and verified histologically in a neonate, but also of a calcified hematoma revealed on a conventional skull x-ray film at birth. This case suggests the possibility of hemorrhage from intracranial cavernous angioma early in life, even prenatally, and emphasizes the necessity for early diagnosis and early treatment of intracranial cavernous angiomas.
小脑幕海绵状血管瘤在围产期系列超声检查中首次被发现,该新生儿的肿瘤被完全切除,术后无明显神经功能缺损。肿瘤伴有后颅窝钙化性扩张性血肿。据我们所知,这不仅是首例在新生儿期经手术治疗并经组织学证实的海绵状血管瘤,也是首例在出生时通过传统颅骨X线片发现钙化性血肿的病例。该病例提示颅内海绵状血管瘤在生命早期甚至产前就有出血的可能,并强调了颅内海绵状血管瘤早期诊断和早期治疗的必要性。