Wakai S, Inoh S, Ueda Y, Nagai M
J Neurosurg. 1984 Nov;61(5):956-60. doi: 10.3171/jns.1984.61.5.0956.
The authors report six cases of hemangioblastoma presenting with apoplectic symptoms but with no history related to the tumor. In each case, computerized tomography disclosed an intraparenchymatous hemorrhage, which was located supratentorially in four and in the cerebellum in the remaining two. Angiography revealed an abnormal vascular blush in two cases, but no abnormal vessels or tumor blush in the other four. In all cases, a solid tumor with abnormal vessels, such as red veins and feeding arteries, was found within or adjacent to the hemorrhage at surgery. The possibility of hemangioblastoma should be kept in mind as a cause of intraparenchymatous hemorrhage, particularly subcortical. Evacuation of the hematoma should be carefully carried out, and the whole hematoma wall should be thoroughly investigated for abnormal vessels or a solid mass.
作者报告了6例以卒中样症状为表现但无肿瘤相关病史的血管母细胞瘤病例。在每例病例中，计算机断层扫描显示脑实质内出血，其中4例位于幕上，其余2例位于小脑。血管造影显示2例有异常血管染色，但其他4例未发现异常血管或肿瘤染色。在所有病例中，手术时在出血灶内或其附近发现了伴有异常血管（如红色静脉和供血动脉）的实体肿瘤。血管母细胞瘤应被视为脑实质内出血，尤其是皮质下出血的一个病因。应谨慎进行血肿清除，并对整个血肿壁进行全面检查，以寻找异常血管或实体肿块。
