Heros R C, Kolluri S
Neurosurgery. 1984 Oct;15(4):572-7. doi: 10.1227/00006123-198410000-00020.
Two cases of giant left middle cerebral artery aneurysm presenting with rapidly progressing hemiparesis and aphasia are presented. In both, the computed tomographic scan showed recent intraaneurysmal thrombosis and massive edema and swelling of the cerebral hemisphere. There was no evidence of recent hemorrhage in either case. In both patients, surgical resection of the aneurysm was accomplished, but the outcome was disastrous. The literature is reviewed and the possible mechanisms responsible for brain swelling in these cases are discussed.
本文报告两例以快速进展性偏瘫和失语为表现的巨大左大脑中动脉动脉瘤。两例患者的计算机断层扫描均显示动脉瘤内近期血栓形成，以及大脑半球的大量水肿和肿胀。两例均无近期出血的证据。两名患者均接受了动脉瘤手术切除，但结果是灾难性的。本文回顾了相关文献，并讨论了这些病例中脑肿胀的可能机制。
