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相關文獻
- Intracerebral Hemorrhage Caused by Cerebral Amyloid Angiopathy: A Case Report
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- Bilateral Simultaneous Hypertensive Intracerebral Hemorrhages
- 高血壓性腦內出血患者的抽痰術對顱內壓的影響
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頁籤選單縮合
題名 | Intracerebral Hemorrhage Caused by Cerebral Amyloid Angiopathy: A Case Report=腦部類澱粉血管病變導致腦內出血:一病例報告 |
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作 者 | 王賢堅; 吳建忠; 廖松語; 鍾明燈; 李偉華; | 書刊名 | 中華醫學雜誌 |
卷期 | 62:1 1999.01[民88.01] |
頁次 | 頁55-60 |
分類號 | 416.291 |
關鍵詞 | 腦部類澱粉血管病變; 高血壓; 腦內出血; Cerebral amyloid angiopathy; Hypertension; Intracerebral hemorrhage; |
語文 | 英文(English) |
中文摘要 | 腦部類澱粉血管病變所引起的腦內出血,好發於大腦皮質及皮質下白質,其發病 率約佔自發性腦內出血病例的10%。此病變之特點是類澱粉微纖維沉積在軟腦膜、皮質及 皮質下之動脈壁內。病理學上,類澱粉可被剛果紅染成紅色,但在偏極光學顯微鏡下卻呈黃 綠色雙折光。目前雖已有許多腦部類澱粉血管病變之文獻報告,但在台灣卻甚少提及。本文 報告一病例之手術治療經驗。此病例為75歲男性,住院前一日突發意識障礙,腦部電腦斷 層檢查顯示左側大腦額葉皮質下血腫,經施行開顱術摘除血腫及進行腦組織切片檢查,發現 這是一例典型的腦部類澱粉血管病變。此疾病之致病率隨著年齡之增加而升高,同時亦可能 併發高血壓。因此本文作者建議,每一老年自發性腦內出血的病例,於摘除血腫的同時應施 行腦組織活體切片檢查,並作類澱粉血管病變的特殊染色,以鑑別是否有腦部類澱粉血管病 變的存在。 |
英文摘要 | Cerebral amyloid angiopathy (CAA) accouonts for approximately 10% of spontaneous intracerebral hemorrhages (ICH), and typically occurs in the cortex and subcortical white matter. It is characterized by the deposition of amyloid fibrils in the leptomeningeal, cortical and subcortical arteries. Pathologically, amyloid is stained pink with Congo red and shows yellow-green birefringence when viewed under polarized light. Although there have been many reports of CAA in the literature, it has rarely been described in Taiwan. This is the report of a case of a 75-year-old man with ICH caused by CAA. The postoperative course was uneventful. The incidence of this disease increases with age. The authors, therefore, suggest conducting a brain biopsy and special stain for CAA in each operative case of spontaneous ICH, especially in the elderly. . |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。