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脉络丛血管瘤伴蛛网膜下腔出血1例——病例报告(作者译)

[A case of choroid plexus angioma with subarachnoid hemorrhage--case report (author's transl)].

作者信息

Tomita T, Minezaki T, Kawakami H, Miwa T

出版信息

No Shinkei Geka. 1979 Jul;7(7):703-7.

PMID:471182
Abstract

Authors report a case of choroid plexus angioma of lateral ventricle, in a 42 years old woman, initiated with an episode of subarachnoid hemorrhage. The localization of lesion, in the anterior horn and body of right lateral ventricle, producing primary intraventricular bleeding was revealed by pneumoencephalography, especially polytome pneumotomography. However, it was difficult to find by angiography. Patient was successfully removed angioma and showed good recovery. In review of the literatures, the choroid plexus angioma is found more frequently in children than adults, caused by primary intraventricular or subarachnoid hemorrhage and is ocasionally associated with other congenital anomalies. Otherwise, it is found incidentally at autopsy and show hydrocephalus or normal pressure hydrocephalus. Prognosis is excellent in operated case, but heavy mortality in non-operated case and combined with intraventricular hematoma.

摘要

作者报告了一例42岁女性侧脑室脉络丛血管瘤病例,该病例以蛛网膜下腔出血发端。气脑造影,尤其是多层面气脑断层摄影术显示,病变位于右侧脑室前角和体部,导致原发性脑室内出血。然而,血管造影很难发现该病变。患者的血管瘤被成功切除,恢复良好。回顾文献发现,脉络丛血管瘤在儿童中比成人中更常见,由原发性脑室内或蛛网膜下腔出血引起,偶尔与其他先天性异常相关。此外,它在尸检时偶然发现,表现为脑积水或正常压力脑积水。手术病例预后良好,但非手术病例死亡率高,且常合并脑室内血肿。

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