原名「台灣學術線上」
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1
題名:Primary Intraventricular Hemorrhage due to Rupture of Angiographically Occult Vascular Malformation: Report of a Case     (8點)
原發性腦室出血導因於隱匿性血管畸形破裂:病例報告
著者:Yu-Kai Cheng(鄭宇凱) ;Ming-Shian Lu(呂明憲) ;Jen-Tsung Yang(楊仁宗) ;Ming-Hsueh Lee(李明學) ;Chen-Hsing Su(蘇振興) ;Ting-Chung Wang(王定中)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:angiographically occult vascular malformation ; cerebral angiography ; intraventricular hemorrhage ; magnetic resonance imaging
刊名:Formosan journal of surgery
卷期:43卷1期(2010.2)
頁碼:43-46
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

原發性腦室出血是一種少見的神經學疾病。大部分的文獻都建議以血管攝影?標準檢查以幫助確定可能之病灶。我們提出一位48歲男性其無顯影之電腦斷層檢查顯示原發性腦室出血。在病患陷入昏迷,且我們強烈懷疑有血管病變,故令病患接受電腦斷層血管攝影檢查。檢查結果發現顯影劑滲漏至腦室當中以及急性水腦。病患因水腦接受手術之後立即安排血管攝影檢查。然而,並未發現任何血管病變。一星期後,病患接受核磁共振檢查發現有一強烈顯影的病灶位於靠近左側腦室室間孔(蒙羅氏孔)處。病理報告證實?血管病變。病患於開顱手術後2星期出院。約10%腦血管病變?隱匿性血管畸形。一正常的血管攝影檢查無法證明無血管病灶。我們建議對原發性腦室出血且血管攝影檢查正常之病患施行腦核磁共振檢查。
Primary intraventricular hemorrhage (PIVH) is a rare neurological disease. Most articles in the literature recommend angiography as a standard examination to exclude potential vascular lesions. We present a 48-year-old male with PIVH disclosed by non-contrast brain computerized tomography (CT). CT angiography was performed because of the patient's comatous status and high suspicion of a vascular lesion. Contrast extravasation into the ventricles associated with severe hydrocephalus was noted. Cerebral angiography was performed soon after surgery for the cause of acute hydrocephalus. However, no vascular lesion was detected. One week later, a magnetic resonance imaging of the brain demonstrated one hyperintense lesion in the left lateral ventricle near the foramen of Monro. A vascular lesion was documented by histopathological examination. Two weeks after surgery, the patient was discharged. About 10% of cerebrovascular malformations are angiographically occult. A normal angiographic examination does not necessarily indicate the absence of a vascular lesion. We suggest performing brain MRI for PIVH patients if the cerebral angiography appears "normal".


    

本卷期目次
Formosan journal of surgery 43卷1期 (2010.2)
Pathophysiological Factors Contributing to Keloid Formation/ Fa-Lai Yeh
Results of Unstable Peritrochanteric Fractures Treated with Dynamic Hip Screws (DHS) Fixation with or without Trochanter Stabilizing Plate (TSP) Augmentation/ Chun-Wei YewChun-Yu ChangPo-Wen Shen
Dexamethasone Combined with Morphine does not Decrease Postoperative Nausea and Vomiting in Patients Undergoing Thyroidectomy or Parathyroidectomy/ Jong-Yueh LinFong-Fu ChouTing-Lung LinKun-Chou HsiehYa-Ling Yang
Malignant Extrarenal Rhabdoid Tumors of the Omentum with Hemoperitoneum: Report of a Case/ Hui-Han LinShih-Chi WuRay-Jade ChenYu-Chiang Lin
Stab Wound in the Neck with Injury to the Cervical Cord and Ipsilateral Vertebral Artery: Report of a Case/ Da-Wei HuangKuo-Cheng HuangVong-Kuoy PhuongShih-Hahn Chen
Umbilical Metastasis-An Unusual Presentation of Colon Cancer: Report of two Cases and Review of Literature/ Ting-Min HsiehCheuk-Kwan SunHong-Hwa Chen
Primary Intraventricular Hemorrhage due to Rupture of Angiographically Occult Vascular Malformation: Report of a Case/ Yu-Kai ChengMing-Shian LuJen-Tsung YangMing-Hsueh LeeChen-Hsing SuTing-Chung Wang
First-line Therapy with Lapatinib (TykerbR) in Metastatic Breast Cancer that Progressed on Adjuvant Trastuzumab (HerceptinR) Treatment: Report of a Case/ Ya-Fen HsuFiona Tsui-Fen ChengYen-Kung ChenChin-Chu Wu
Arterial Switch Operation for Transposition of the Great Arteries/ Ing-Sh Chiu
 
   
 
   

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