Hashimoto K, Nozaki K, Oda Y, Kikuchi H
Department of Neurosurgery, Kyoto University School of Medicine.
Neurol Med Chir (Tokyo). 1995 Jul;35(7):458-61. doi: 10.2176/nmc.35.458.
A 45-year-old male presented with sudden onset of severe headache, mild disorientation, and gait disturbance due to intracystic hemorrhage from a cerebellar hemangioblastoma. He was successfully treated with ventricular drainage followed by total removal of the tumor. Reported cases of intracranial hemangioblastoma with massive hemorrhage show male predominance, tend to be solid rather than cystic, and occur in supratentorial more than infratentorial locations. Thin-walled and dilated vessels in the present and other cases were a possible cause of hemorrhage. Massive hemorrhage from hemangioblastoma is rare but needs prompt treatment because of the relatively high mortality.
一名45岁男性因小脑成血管细胞瘤囊内出血，突发剧烈头痛、轻度定向障碍和步态紊乱。他接受了脑室引流，随后成功切除了肿瘤。报道的颅内成血管细胞瘤伴大量出血的病例显示男性居多，多为实性而非囊性，且幕上发生的多于幕下。本病例及其他病例中薄壁且扩张的血管可能是出血原因。成血管细胞瘤大量出血虽罕见，但因其死亡率相对较高，需要及时治疗。
