Okladnikov G I
Zh Vopr Neirokhir Im N N Burdenko. 1982 Nov-Dec(6):37-41.
Spinal subarachnoid hemorrhages and multiple hemorrhages into the tissue of the tumor were diagnosed in 11 (5%) of 221 patients with primary tumors of the spinal cord. The clinical picture was characterized by sudden sharp pain in the spine corresponding in localization to the level of the spinal cord tumor. The stroke-like development of the neurological symptoms alters the classical course of spinal cord tumors considerably and makes it difficult to recognize the pathological process. Vascular disorders predominate in patients with meningiomas of the spinal cord in the upper and middle thoracic segments. The pathogenesis of spinal subarachnoid hemorrhages and hemorrhages into the tumor tissue in primary tumors of the spinal cord is discussed.
在221例原发性脊髓肿瘤患者中,11例(5%)被诊断为脊髓蛛网膜下腔出血和肿瘤组织内多发性出血。临床表现为脊柱突然剧痛,疼痛部位与脊髓肿瘤水平相对应。神经症状呈中风样发展,极大地改变了脊髓肿瘤的经典病程,难以识别病理过程。脊髓蛛网膜下腔出血和出血进入肿瘤组织在胸段上中部脊髓脑膜瘤患者中占主导地位。本文讨论了原发性脊髓肿瘤中脊髓蛛网膜下腔出血和肿瘤组织内出血的发病机制。