Komiyama M, Fu Y, Yagura H, Yasui T, Khosla V K
Department of Neurosurgery, Baba Memorial Hospital, Osaka.
Neurol Med Chir (Tokyo). 1993 Apr;33(4):234-7. doi: 10.2176/nmc.33.234.
Three patients with pontine hemorrhages presenting clinically as trigeminal neuropathy are described. No patient was hypertensive and angiograms were normal. Magnetic resonance (MR) imaging showed heterogeneous lesions, suggesting cavernous malformation, in one patient, but no definite diagnosis could be made in the other two patients. Such cases are rare and should be evaluated using serial MR imaging to differentiate angiographically occult vascular malformation from spontaneous hemorrhage.
本文描述了3例临床表现为三叉神经病变的脑桥出血患者。所有患者均无高血压，血管造影正常。磁共振成像显示其中1例患者有不均匀病变，提示海绵状血管畸形，但另外2例患者无法明确诊断。此类病例罕见，应采用磁共振成像序列评估，以鉴别血管造影隐匿性血管畸形与自发性出血。
