Inoue M, Sakai S, Fukushima M, Miyake H, Yasunaga A, Kawano M, Tokuyasu K, Miyazaki H, Matsumura H
No Shinkei Geka. 1982 Jun;10(6):661-4.
The case reported here was a 6-year-old girl who complained of sudden headache and nausea followed by vomiting and visited our clinic. Physical examination revealed mental confusion, right abducent palsy and papilledema. Computed tomography demonstrated a round high-density area surrounded by a low-density zone indicating cystic nature and including high-density part. The lesion was located in the right parietal lobe attaching to the flax. Right frontoparietal craniotomy disclosed a brain tumor containing a large cyst in which bleeding from the tumor was confirmed. This mass lesion was totally resected out. Histo-pathological diagnosis was meningioma to contained cystic formation and hemorrhage from the tumor. Therefore, further discussion on the pathogenesis of cyst formation and bleeding from this tumor was presented.
本文报道的病例是一名6岁女孩，她主诉突发头痛、恶心，随后呕吐，并前来我院就诊。体格检查发现意识模糊、右展神经麻痹和视乳头水肿。计算机断层扫描显示一个圆形高密度区，周围有低密度区，提示囊肿性质，且包含高密度部分。病变位于右侧顶叶，附着于大脑镰。右额顶开颅手术发现一个脑肿瘤，其中有一个大囊肿，证实肿瘤有出血。该肿块病变被完全切除。组织病理学诊断为脑膜瘤，伴有囊肿形成和肿瘤出血。因此，对该肿瘤囊肿形成和出血的发病机制进行了进一步讨论。
