A Chronic Intracerebral Fluid Hematoma
A Chronic Intracerebral Fluid Hematoma
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DOI：
10.15274/nrj-2014-10030
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发表时间：
2014-04-01
影响因子：
1.2
通讯作者：
Yanagimoto, Kunio
中科院分区：
文献类型：
--
作者：
Nomura, Motohiro;Miyashita, Katsuyoshi;Yanagimoto, Kunio
脑内血肿通常会消退，慢性液体血肿很少见。我们描述一个罕见的情况下，脑内血肿。本报告描述了一个病例的脑内液体血肿模仿脑肿瘤，并讨论了这种情况下的特点。一位70岁的女性有6个月的记忆障碍史。计算机断层扫描显示右额叶低密度病变伴部分高密度区。MRI显示病变的主要囊性部分显示高信号在T1和T2加权图像与低信号实性部分的前内侧。病变邻近侧脑室。进行开颅手术并切除病变。实性部分的病理检查显示诊断为脑内出血所致的反应性变化。在我们的病例中，有一种可能性是血肿被脑脊液稀释，凝血可能被阻止。
Intracerebral hematoma usually resolves and a chronic fluid hematoma is rare. We describe a rare case of intracerebral fluid hematoma. This report describes a case of intracerebral fluid hematoma mimicking a brain tumor and discusses the characteristics of this condition. A 70-year-old woman had a six-month history of memory disturbance. Computed tomography scan showed a low-density lesion with a partial high-density area in the right frontal lobe. MRI revealed a lesion of the main cystic portion showing high intensity on both T1 and T2 weighted images with a low-intensity solid portion in the anteromedial side. The lesion was adjacent to the lateral ventricle. Craniotomy was carried out and the lesion was removed. Pathological examination of the solid portion revealed that the diagnosis was reactive changes due to intracerebral hemorrhage. In our case, there was a possibility that the hematoma was diluted with cerebrospinal fluid, and coagulation might have been prevented.