误诊为高血压性脑出血的基底节区脑血管畸形10例诊治体会  

Reflections on the management of cerebrovascular malformation in basal ganglia misdiagnosed as hypertensive cerebral hemorrhage

作　　者：袁璞[1] 聂文臣 刘保华[1] 熊方令[1] 高明明[1] 张怀兵[1] YUAN Pu NIE Wen-chen LIU Bao- hua XIONG Fang-ling GAO Ming- ming ZHANG Huai- bin(Department of Neurosurgery, Suqian People＇s Hospital, Stulian 223800, Chin)

机构地区：[1]宿迁市人民医院神经外科,江苏宿迁223800

出　　处：《现代医学》2016年第12期1734-1737,共4页Modern Medical Journal

摘　　要：目的:探讨基底节区脑血管畸形的诊断及治疗体会。方法:总结我院收治的10例诊断为高血压性脑出血的基底节区脑血管畸形患者的救治过程。结果:10例患者均采用经侧裂-岛叶入路清除血肿,并全部或部分切除畸形血管,术后病理检查均予证实。结论:基底节区脑出血畸形破裂出血后容易误诊为高血压性基底节区脑出血,应提高警惕;手术时采用经侧裂-岛叶入路是一个较为有效的清除血肿、切除畸形血管的方法。Objective： To reflect on the experience in the diagnosis and treatment of cerebrovascular malformation in basal ganglia.Methods： Ten patients with cerebrovascular malformation in basal ganglia misdiagnosed as hypertensive cerebral hemorrhage were admitted to our hospital and the experience in treating the disease was summarized.Results： All the 10 patients received hematoma evacuation via the transsylvian fissure-insular approach and complete or partial resection of vascular malformations was successfully conducted,which were confirmed by pathology postoperatively.Conclusion： More attention should be paid to cerebrovascular malformation in basal ganglia,which is likely to be misdiagnosed as hypertensive cerebral hemorrhage preoperatively.The transsylvian fissure-insular approach is effective for evacuating hematoma and resecting vascular malformations.

关 键 词：脑出血 基底节区 脑血管畸形 

分 类 号：R743.4[医药卫生—神经病学与精神病学]