以单发脑内血肿为首发CT表现并瘤内血栓形成的大脑中动脉瘤1例及文献复习  

A case of middle cerebral aneurysm presented on CT as single intracerebral hematoma and intratumoral thrombosis and literature review

作　　者：颜明布 刘楠 杨莎莎 房淑云 王凯 邹积典 Yan Mingbu;Liu Nan;Yang Shasha;Fang Shuyun;Wang Kai;Zou Jidian(Neurosurgery,Weihai Central Hospital,Weihai 264400,China;Second Ward of Hepatobiliary Hernia and Abdominal Wall Surgery and Burn Surgery,Weihai Central Hospital,Weihai 264400,China;Operating Room,Weihai Central Hospital,Weihai 264400,China)

机构地区：[1]威海市中心医院神经外科,264400 [2]威海市中心医院肝胆疝腹壁外科二病区烧伤外科,264400 [3]威海市中心医院手术室,264400

出　　处：《国际医药卫生导报》2020年第7期980-982,共3页International Medicine and Health Guidance News

摘　　要：目的:探讨以单发脑内血肿为首发CT表现并瘤内血栓形成的大脑中动脉瘤的病例特点。方法:总结1例以单发脑内血肿为首发CT表现并瘤内血栓形成的大脑中动脉瘤的病例资料特点及随访情况。结果:患者入院后考虑存在大脑中动脉瘤,行动脉瘤夹闭+脑内血肿清除,术后随访6个月,患者生活自理。结论:以单发脑内血肿为首发CT表现并瘤内血栓形成的大脑中动脉瘤影像学表现不典型,需加强对其认识,避免临床工作中误诊、漏诊。Objective To investigate the clinical characteristics of middle cerebral aneurysm presented on CT as single intracerebral hematoma and intratumoral thrombosis.Method The case data and follow-up data of a middle cerebral aneurysm patient presented on CT as single intracerebral hematoma and intratumoral thrombosis were summarized.Results After admission,the patient was admitted to have a surgery of middle cerebral aneurysm clipping and hematoma clearance.After 6 months of follow-up,the patient could take care of himself.Conclusion The imaging findings of middle cerebral aneurysm presented on CT as single intracerebral hematoma and intratumoral thrombosis are atypical,and it is necessary to strengthen our understanding to avoid misdiagnosis and missed diagnosis in clinical work.

关 键 词：脑内血肿 大脑中动脉瘤 瘤内血栓形成 

分 类 号：R816[医药卫生—放射医学] R74[医药卫生—临床医学]