Sutherland G R, Drake C G, Kaufmann J C
Clin Neuropathol. 1985 Jan-Feb;4(1):19-22.
A 58-year-old man presented with a 4-month history of personality changes and transient episodes of right lower extremity weakness, as well as transient episodes of aphasia. Computerized tomography revealed a large basal frontotemporal mass with extensive surrounding edema which was confirmed on angiography to be a partially thrombosed giant aneurysm. Pathologically, the lesion was extraordinary, demonstrating extensive organization, with the entire cavity of the aneurysm occupied by vascular channels of different sizes, some of which were thrombosed. These findings were substantiated by scanning electron microscopy which also illustrated areas of active platelet-fibrin interaction on the remaining luminal surface.
一名58岁男性，有4个月的人格改变史，伴有右下肢短暂性无力发作以及失语发作。计算机断层扫描显示额颞叶底部有一个大肿块，周围有广泛水肿，血管造影证实为部分血栓形成的巨大动脉瘤。病理检查显示，病变非同寻常，有广泛机化，动脉瘤的整个腔被不同大小的血管通道占据，其中一些有血栓形成。扫描电子显微镜证实了这些发现，其还显示了剩余管腔表面存在活跃的血小板-纤维蛋白相互作用区域。
