胼胝体旁出血伴血肿致双下肢瘫痪病例报告1例  

A Case Report of Bilateral Lower Extremity Paralysis Caused by Spontaneous Pericallosal Hematoma with Cerebral Vascular Malformation

作　　者：陈浩东 裘五四 徐海松 郝泽林 程军 梁润虞 

机构地区：[1]杭州师范大学附属医院,杭州市第二人民医院,神经外科,浙江 杭州

出　　处：《外科（汉斯）》2023年第1期1-6,共6页Hans Journal of Surgery

摘　　要：本文总结一例脑血管畸形合并胼胝体旁出血伴血肿致双下肢瘫痪病例情况,以提高诊断及治疗能力。我们回顾性分析1例脑血管畸形合并胼胝体旁出血伴血肿致双下肢瘫痪病例,结合病人CT、CTA等影像资料,患者胼胝体出血明确,CTA示脑内血管畸形,先后两次行经导管颅内动脉畸形介入栓塞术,经治疗血肿吸收后,下肢肌力恢复良好。该病例提示早期诊断和相应治疗对及早地准确诊断和对稳定后的康复及预后有更好的帮助。A case of cerebral vascular malformation with pericallosal hemorrhage and hematomas resulting in bilateral lower extremity paralysis was summarized in order to improve the ability of diagnosis and treatment. A case of cerebral vascular malformation complicated with pericallosal hemorrhage and hematomas leading to paralysis of both lower limbs was analyzed retrospectively. Combined with the CT and CTA data of the patient, the corpus callosum hemorrhage was clear and the CTA showed cerebral vascular malformation. Two times of interventional embolization for intracranial malformations were performed. After hematoma absorption, the muscle strength of lower limbs recovered well. It is suggested that early diagnosis and appropriate treatment are helpful to the recovery and prognosis after stabilization.

关 键 词：脑出血 CTA 脑血管畸形 脑内血肿 瘫痪 

分 类 号：R47[医药卫生—护理学]