de Almeida G M, Bianco E, Souza A S
Surg Neurol. 1985 Jan;23(1):38-40. doi: 10.1016/0090-3019(85)90157-0.
A case of a acoustic neuroma with a two-stage removal due to severe bleeding is presented. The patient remained drowsy after the second operation and by the 8th day deteriorated quickly with progressive right hemiplegia and aphasia. The cerebrospinal fluid was bloody, vasospasm was shown in the angiograms, and an ischemic area was disclosed in the computed tomography scan. The outcome and the neuroradiologic examinations suggested that blood in the basal cisterns caused the vasospasm and the brain ischemia. A review of the literature disclosed only one similar case.
本文报告一例因严重出血而分两期切除的听神经瘤病例。患者在第二次手术后仍处于嗜睡状态，到第8天时病情迅速恶化，出现进行性右侧偏瘫和失语。脑脊液呈血性，血管造影显示有血管痉挛，计算机断层扫描显示有缺血区。结果及神经放射学检查提示，脑基底池内的血液导致了血管痉挛和脑缺血。文献回顾仅发现一例类似病例。
