Tanaka N, Yamamoto M, Jimbo M, Ide M, Kubo O
Department of Neurosurgery, Tokyo Women's Medical College Dai-ni Hospital.
Neurol Med Chir (Tokyo). 1994 Mar;34(3):176-9. doi: 10.2176/nmc.34.176.
A 47-year-old female presented with an unusual association of convexity meningioma with chronic subdural hematoma, manifesting as headache and left hemiparesis 10 days before admission. Computed tomography showed an isodense right frontal tumor with significant enhancement postcontrast and a hypodense subdural hematoma in the right frontotemporal area. Craniotomy exposed an extracerebral tumor facing a liquefied subdural hematoma encapsulated by outer and inner membranes. The hematoma was evacuated and the tumor was totally removed. Histological examination revealed a meningothelial meningioma with hemangiopericytic components. Microscopic examination of the hematoma capsule revealed a cluster of meningothelial cells in the outer membrane.
一名47岁女性因凸面脑膜瘤合并慢性硬膜下血肿入院,入院前10天出现头痛和左侧偏瘫。计算机断层扫描显示右额叶等密度肿瘤,增强扫描后有明显强化,右额颞区有低密度硬膜下血肿。开颅手术暴露了一个脑外肿瘤,其面对的是一个被内外膜包裹的液化硬膜下血肿。血肿被清除,肿瘤被完全切除。组织学检查显示为伴有血管外皮细胞成分的脑膜内皮型脑膜瘤。对血肿包膜进行显微镜检查发现外膜中有一簇脑膜内皮细胞。