脑瘤卒中13例报告

Cerebroma Apoplexy-report of 13 cases

目的 :探讨脑瘤卒中的临床特点及治疗方法。方法 :回顾性分析 13例脑瘤卒中患者的CT及临床资料。结果 :13例患者均急性发病 ,CT表现为局部高密度 ,可合并周围结节或囊性占位及灶周水肿。均早期行血肿清除 ,肿瘤完全切除 12例 ,部分切除 1例。无手术死亡。术后Karnorfsky 80分以上5例 ,70～ 80分 2例 ,60～ 70分 4例 ,60分以下 2例。结论 :由于脑瘤卒中 ,颅内压急剧升高 ,临床症状加重 ,易误诊。CT表现为出血征象与肿瘤征象并存。早期手术清除血肿 ,降低颅内压 ,并在术中行快速冰冻 ,病理学检查 ,有利于确定手术方式 。

Objective To investigate the clinical features and treatment of cerebroma apoplexy.Methods The computed tomography(CT)results and clinical data of 13 patients with cerebroma apoplexy were analyzed retrospectively.Results 13 patients were all attacked acutely.CT manifested local high density sorrounded with node or edema,or combined with cystic occupancy.Emergent evacuation of hematoma was applied to all patients,while total resection of tumor was applied to 12 cases,and subtotal resection to 1 case.No patients died of operation.Postoperative Karnorfsky scales were above 80 points in 5 cases,70-80 in 2 cases,60-70 in 4 cases and below 60 in 2 cases.Conclusions Cerebroma apoplexy is easily misdiagnosed from other disorders as hemorrhage leads to rapid ascension of intracranial pressure and severe clinical symptoms.CT often displays signs of both hemorrhage and tumor.Early evacuation of hematoma and intraoperative rapid pathologic examination contribute to early definite diagnosis,establishment of operative mode and improvement of curative effect.