Moriyama E, Beck H, Takayama K, Okamoto T
Department of Neurosurgery, Fukuyama National Hospital, Hiroshima.
Neurol Med Chir (Tokyo). 1998 Jan;38(1):20-3. doi: 10.2176/nmc.38.20.
A 68-year-old male presented with a traumatic subdural hematoma originating from a convexity meningioma the day after a motorcycle accident. Computed tomography disclosed a right temporal subdural and/or epidural mass. Emergent craniotomy revealed a convexity meningioma with thin subdural hematoma. The underlying brain was apparently healthy. The histological diagnosis was angiomatous meningioma with hemorrhagic foci. The operative and histological findings indicated that the tumoral tissue was the source of the subdural hematoma.
一名68岁男性在摩托车事故后第二天出现源于凸面脑膜瘤的创伤性硬膜下血肿。计算机断层扫描显示右侧颞部硬膜下和/或硬膜外肿块。急诊开颅手术发现一个伴有薄层硬膜下血肿的凸面脑膜瘤。其下方的脑组织明显健康。组织学诊断为伴有出血灶的血管瘤型脑膜瘤。手术和组织学检查结果表明肿瘤组织是硬膜下血肿的来源。