双边同时发生的乳头血瘤 - - 脑内出血的不寻常表现:一个病例报告
Rita Magyar-Stang1,2, Marcell László Palotai1,2, Gertrúd Tamás1
1Semmelweis University, Department of Neurology, Budapest, Hungary.
Heliyon
|October 13, 2023
概括
双边胸膜出血是罕见的,通常会导致认知障碍. 这一案例突出了高血压危机作为原因,强调需要考虑其他诊断,如鼻血栓症.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 血管神经学 血管神经学
背景情况:
- 双边对称同时发生的胸膜出血是非常罕见的临床事件.
- 未经治疗的高血压,缺血性心脏病和2型糖尿病是脑血管事件的重要危险因素.
研究的目的:
- 为了呈现一种罕见的双边胸膜出血病例.
- 讨论临床表现,诊断工作和结果.
- 为了突出这种罕见事件的差异诊断.
主要方法:
- 一名52岁的女性患者有高血压病史,缺血性心脏病和2型糖尿病,出现神经缺陷.
- 部CT和CT血管图进行了诊断.
- 用MRI进行后续成像.
- 进行了神经心理评估.
主要成果:
- 患者出现了昏昏欲睡,迷失方向和半.
- 扫描图显示了双边的胸膜出血,并有心室内和脑下下延伸.
- 尽管对高血压进行了治疗,但患者患有严重的认知缺陷.
- 核磁共振扫描显示了其他大脑区域的慢性变化和微型血流.
结论:
- 同时的双边胸膜出血是罕见的,认知障碍是常见的症状.
- 在这种情况下,高血压危机是原因.
- 不同诊断包括鼻血栓,出血性中风转化和血友病.
相关概念视频
00:49The Blood-brain Barrier
Overview
01:17Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
01:26Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...