Wakai S, Sato A, Nagai M
Department of Neurosurgery, Dokkyo University School of Medicine, Tochigi, Japan.
Neurosurgery. 1995 Oct;37(4):807-8; discussion 808-9. doi: 10.1227/00006123-199510000-00026.
We report the case of a 53-year-old man presenting with a headache of sudden onset and blurred vision secondary to hemorrhage from a nonfunctioning pituitary adenoma, which had been treated 25 years previously by transcranial surgery and postoperative irradiation. The intratumoral and intracerebral hematoma expanded to three times its initial size because of a recurrent hemorrhage that occurred during a 2-day period while the patient awaited surgery. The mechanisms of hematoma expansion and the management strategy in such a case are discussed, and a review of the pertinent literature is presented.
我们报告了一例53岁男性患者，其因无功能垂体腺瘤出血继发突发头痛和视力模糊。该患者25年前曾接受经颅手术及术后放疗。在患者等待手术的两天内，因复发出血，肿瘤内及脑内血肿扩大至初始大小的三倍。本文讨论了此类病例中血肿扩大的机制及处理策略，并对相关文献进行了综述。
