Lin S Z, Shih C J, Wang Y C, Tsai S H
Surg Neurol. 1984 May;21(5):459-64. doi: 10.1016/0090-3019(84)90451-8.
Three cases of organized intracerebral hematomas presented slowly progressive neurological deficits and hence mimicked brain tumors. Computed tomography scanning revealed ring enhancement of intracerebral mass lesions with midline shift. Angiographic studies showed avascular mass lesions. Soft, well-encapsulated, organized, large intracerebral hematomas with feeding arteries on their capsules were removed surgically. The lesions contained fresh and old hemorrhages. It is presumed that the feeding artery caused slowly continuous bleeding, thus causing these intracerebral hematomas to grow in a manner that made their clinical picture simulate that of intracerebral neoplasms. Their pathogenesis is discussed.
三例机化性脑内血肿表现为缓慢进展的神经功能缺损，因此酷似脑肿瘤。计算机断层扫描显示脑内肿块病变呈环形强化并伴有中线移位。血管造影研究显示无血管肿块病变。手术切除了柔软、包膜完整、机化的、较大的脑内血肿，其包膜上有供血动脉。病变内含有新鲜和陈旧性出血。据推测，供血动脉导致缓慢持续出血，从而使这些脑内血肿以使其临床表现类似于脑肿瘤的方式生长。对其发病机制进行了讨论。
