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两例在CT扫描上模拟肿瘤的巨大脑内动脉瘤;其中一例合并慢性硬膜下血肿。

Two cases of giant intracerebral aneurysm simulating neoplasm on ct scan; one with coexistent chronic subdural hematoma.

作者信息

Jones J N, Schwarz H J

出版信息

J Neurol. 1977 Apr 28;215(1):49-57. doi: 10.1007/BF00312549.

DOI:10.1007/BF00312549
PMID:67199
Abstract

Two cases of giant intracerebral aneurysm are presented. Both exhibit increased absorption values in a circumferential configuration peripherally after the administration of contrast material. In addition, one case demonstrates a coexistent contralateral chronic subdural hematoma. No previous example of intracranial aneurysm exhibiting this configuration on computed tomography has been described in the literature. The operative, computed tomographic, radionuclide and angiographic findings are described and the differential diagnosis discussed.

摘要

本文报告了两例巨大脑内动脉瘤。两例在注射造影剂后,外周均呈现出环形配置的吸收值增加。此外,一例显示存在对侧慢性硬膜下血肿。文献中尚未描述过在计算机断层扫描上呈现这种形态的颅内动脉瘤的先例。本文描述了手术、计算机断层扫描、放射性核素和血管造影的结果,并讨论了鉴别诊断。

相似文献

1
Two cases of giant intracerebral aneurysm simulating neoplasm on ct scan; one with coexistent chronic subdural hematoma.两例在CT扫描上模拟肿瘤的巨大脑内动脉瘤;其中一例合并慢性硬膜下血肿。
J Neurol. 1977 Apr 28;215(1):49-57. doi: 10.1007/BF00312549.
2
[Chronic subdural hematoma associated with intracranial aneurysm (author's transl)].[慢性硬膜下血肿与颅内动脉瘤相关(作者译)]
No Shinkei Geka. 1981 May;9(6):741-5.
3
Acute subdural hematoma with subarachnoid hemorrhage caused by an intracranial aneurysm: a case report.颅内动脉瘤致急性硬膜下血肿伴蛛网膜下腔出血:一例报告
Zhonghua Yi Xue Za Zhi (Taipei). 1998 Jun;61(6):358-61.
4
Subdural hematoma secondary to ruptured intracranial aneurysm: computed tomographic diagnosis.颅内动脉瘤破裂继发硬膜下血肿:计算机断层扫描诊断
J Comput Tomogr. 1983 May;7(2):142-53.
5
Ruptured intracerebral aneurysm resulting in a subdural hematoma.
Ann Emerg Med. 1986 Aug;15(8):944-6. doi: 10.1016/s0196-0644(86)80682-5.
6
[Subdural haematoma from aneurysm without concurrent subarachnoid haemorrhage].无并发蛛网膜下腔出血的动脉瘤所致硬膜下血肿
Ugeskr Laeger. 2009 Jan 5;171(1-2):59.
7
Ruptured distal anterior cerebral artery aneurysms presenting as acute subdural hematoma--report of three cases.表现为急性硬膜下血肿的大脑前动脉远端动脉瘤破裂——三例报告
Neurol Med Chir (Tokyo). 1991 Aug;31(8):514-7. doi: 10.2176/nmc.31.514.
8
Pure subdural hematoma due to cerebral aneurysmal rupture: an often delayed diagnosis.脑动脉瘤破裂所致单纯性硬膜下血肿:常为延迟诊断。
Cardiovasc Intervent Radiol. 2010 Aug;33(4):870-3. doi: 10.1007/s00270-009-9772-7.
9
[A case of subarachnoid hemorrhage with acute subdural hematoma due to head injury: a case report].[一例因头部损伤导致蛛网膜下腔出血合并急性硬膜下血肿的病例报告]
No Shinkei Geka. 1995 Mar;23(3):249-52.
10
Subdural hematomas of arterial origin.动脉源性硬膜下血肿
Neurosurgery. 1981 Feb;8(2):166-72. doi: 10.1227/00006123-198102000-00005.

引用本文的文献

1
Extracranial-intracranial arterial bypass for giant aneurysms.
Acta Neurochir (Wien). 1980;54(1-2):107-15. doi: 10.1007/BF01401949.
2
Giant cerebral aneurysms.巨大脑动脉瘤
Neurosurg Rev. 1982;5(4):117-48. doi: 10.1007/BF01742676.

本文引用的文献

1
Computerized axial tomography of intracerebral and intraventricular hemorrhage.脑内和脑室内出血的计算机断层扫描
Radiology. 1974 Jul;112(1):73-80. doi: 10.1148/112.1.73.
2
Computerized x-ray scanning of the brain.
J Neurosurg. 1974 Jun;40(6):679-95. doi: 10.3171/jns.1974.40.6.0679.
3
Computer assisted tomography of the head. An early evaluation.头部计算机辅助断层扫描。早期评估。
Mayo Clin Proc. 1974 Jan;49(1):17-27.
4
The EMI scanner. A brief review of the first 650 patients.电磁感应成像扫描仪。对首批650例患者的简要回顾。
Br J Radiol. 1974 Sep;47(561):530-65. doi: 10.1259/0007-1285-47-561-530.
5
Computerized tomography of the brain.
Radiol Clin North Am. 1974 Aug;12(2):297-313.
6
Computerized axial tomography with the EMI scanner.使用EMI扫描仪进行计算机断层扫描。
Radiology. 1974 Jan;110(1):109-23. doi: 10.1148/110.1.109.
7
An extravascular component of contrast enhancement in cranial computed tomography. Part I. The tissue-blood ratio of contrast enhancement.头颅计算机断层扫描中对比增强的血管外成分。第一部分。对比增强的组织-血液比率。
Radiology. 1975 Dec;117(3 Pt 1):589-93. doi: 10.1148/117.3.589.
8
Computerized transverse tomography of vascular lesions of the brain. Part II: aneurysms.脑部血管病变的计算机断层扫描。第二部分:动脉瘤。
Am J Roentgenol Radium Ther Nucl Med. 1975 Jun;124(2):215-9. doi: 10.2214/ajr.124.2.215.