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伴有脑内出血的血管瘤型脑膜瘤:一例报告及文献复习

Angiomatouse meningioma with intracerebral hemorrhage: A case report and literature review.

作者信息

Al-Huthali Ibtisam, Alem Sarah, Darwish Abdullah, Brinji Zaina, Bahakeem Basem

机构信息

Department of Radiology, King Abdullah Medical City, Makkah, Saudi Arabia.

Department of Internal Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

出版信息

Radiol Case Rep. 2024 Aug 23;19(11):5178-5181. doi: 10.1016/j.radcr.2024.06.081. eCollection 2024 Nov.

DOI:10.1016/j.radcr.2024.06.081
PMID:39263495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11388048/
Abstract

Intracranial angiomatous meningioma (AM) is a rare meningioma subtype. Hemorrhage is a rare meningioma-related complication that can occur spontaneously. Therefore, this specific medical condition is rarely described in the literature. We describe a rare case of a 65 year's old female with repeated focal left upper limb epileptic attacks and no history or evidence of neoplasms, trauma, or coagulopathy. Magnetic resonance imaging and computed tomography (MRI and CT, respectively) are early and accurate diagnostic tools that reveal an intracerebral hemorrhage from a right occipital meningioma. She was treated by surgical resection. The diagnosis was confirmed based on the pathological analysis of the resected tumor that was reported as an AM.

摘要

颅内血管母细胞瘤性脑膜瘤(AM)是一种罕见的脑膜瘤亚型。出血是一种罕见的与脑膜瘤相关的并发症,可自发发生。因此,这种特殊的病症在文献中很少被描述。我们描述了一例罕见病例,一名65岁女性反复出现左侧上肢局灶性癫痫发作,且无肿瘤、创伤或凝血障碍的病史或证据。磁共振成像和计算机断层扫描(分别为MRI和CT)是早期准确的诊断工具,显示右枕叶脑膜瘤引起的脑出血。她接受了手术切除治疗。根据切除肿瘤的病理分析确诊为AM。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fa/11388048/b0f0dd5c83fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fa/11388048/2e23e60f9d8f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fa/11388048/b0f0dd5c83fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fa/11388048/2e23e60f9d8f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fa/11388048/b0f0dd5c83fa/gr2.jpg

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本文引用的文献

1
Angiomatous Meningiomas Have a Very Benign Outcome Despite Frequent Peritumoral Edema at Onset.血管母细胞瘤型脑膜瘤尽管起病时瘤周水肿常见,但预后非常良好。
World Neurosurg. 2017 Dec;108:465-473. doi: 10.1016/j.wneu.2017.08.096. Epub 2017 Aug 24.
2
Angiomatous meningiomas have a distinct genetic profile with multiple chromosomal polysomies including polysomy of chromosome 5.血管母细胞瘤性脑膜瘤具有独特的基因特征,存在多个染色体多体性,包括5号染色体多体性。
Oncotarget. 2014 Nov 15;5(21):10596-606. doi: 10.18632/oncotarget.2517.
3
Clinical characteristics and treatment of angiomatous meningiomas: a report of 27 cases.
血管母细胞瘤型脑膜瘤的临床特征与治疗:27例报告
Int J Clin Exp Pathol. 2013;6(4):695-702. Epub 2013 Mar 15.
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Intracranial hemorrhage.颅内出血
Emerg Med Clin North Am. 2012 Aug;30(3):771-94. doi: 10.1016/j.emc.2012.06.003.
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Lipomatous meningioma with concomitant acute subdural hematoma--case report--.
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Histological classification and molecular genetics of meningiomas.脑膜瘤的组织学分类与分子遗传学
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8
Clinico-pathological study of meningiomas with haemorrhagic onset.以出血起病的脑膜瘤的临床病理研究
Acta Neurochir (Wien). 2003 Sep;145(9):767-72. doi: 10.1007/s00701-003-0089-z.
9
Intratumoral bleeding in meningioma after gamma knife radiosurgery.伽玛刀放射治疗后脑膜瘤内出血
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