Cambria S, Cardia E, Macri E
Neurochirurgie. 1976;22(1):85-90.
The AA. describe a case of a giant aneurysm 6 centimeters in diameter in a child of 4 years old. The lesion was made evident on the occasion of an hemorrhage that has caused an insular hematoma. The patient has undergone an operation with favourable outcome. The lack of neurologic symtomatology until the moment of the hemorrhage lead the AA. to think that this lesion was of the notables proportions from the moment of birth, so that the cerebral parenchyma was modeled on it. Unlike others cases in litterature recogniset, the wall of the aneurysmatic bag did not present fibrotics thickenings, and besides the blood-clot included in it seemed histologicaly of recent formation.
作者描述了一例4岁儿童患有直径6厘米的巨大动脉瘤的病例。该病变在一次导致岛叶血肿的出血时被发现。患者接受了手术,结果良好。直到出血时都没有神经症状,这使得作者认为该病变自出生时就已具有相当大的规模,以至于脑实质围绕其形成。与文献中其他已认识到的病例不同,动脉瘤囊壁没有纤维增厚,而且其中包含的血凝块在组织学上似乎是近期形成的。