脑肿瘤卒中的临床表现和治疗——附17例病例分析

Clinical Manifestations and Treatment of Stroke in Brain Tumor: An Analysis of 17 Cases

本文报道了近6年收治的17例脑肿瘤卒中病例(男10例,女7例)。平均发病年龄37.7岁。发病率为同期脑肿瘤发病率的1.9％,恶性肿瘤13例(76.5％)。误诊7例,手术抢救成活12例。作者认为,脑肿瘤卒中是颅内出血的一种少见而又特殊的类型,临床诊断较为困难。卒中以恶性肿瘤多见,蛛网膜下腔出血和进行性颅内高压症状是本病的主要临床特征。CT扫描对诊断极为有益。若手术治疗及时,可望延长病人生命。

Presented in this paper is a report of 17 cases of brain tumour stroke admitted to our hospital in recent 6 years, of whom 10 were males and 7 famles, averaging in age 37.7 years. The incidence accounted for 1.9 % of tumour incidence at same period in our hospital. 13 cases (76.5%)were diagnosed as having malignant tumour, 7 were misdiagnosed, and 12 survived surgery. It is thought that the stroke of brain tumor is an uncommon and specific type in intracranial hemorrhage. It is rather difficult to diagnose. Most of the stroks were caused by malignant tumour. Clinically, it is characterized mainly by subarachnoid hemorrhage(SAH) and progressive intracranial pressure. CT scan is very help in the diagnosis of the disease. Patients' life can be prolonged if early surgical treatment is instituted.