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首页> 外文期刊>British journal of neurosurgery >Upper thoracic intradural-extramedullary cavernous malformation presenting as subarachnoid hemorrhage without spinal dysfunction: A case report and review of the literature
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Upper thoracic intradural-extramedullary cavernous malformation presenting as subarachnoid hemorrhage without spinal dysfunction: A case report and review of the literature

机译：表现为蛛网膜下腔出血而无脊柱功能障碍的上胸硬脑膜-硬膜外海绵状畸形：一例病例并文献复习

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摘要

A 45-year-old man had subarachnoid hemorrhage (SAH) which was confirmed by lumbar puncture, since it was negative on head computed tomography. The result of neurological examination was normal. Following pan-cerebral angiography and cranial magnetic resonance imaging (MRI) failed to find out the cause of bleeding. The whole spinal MRI revealed an intradural-extramedullary mass lesion at the upper thoracic level which was consistent with cavernous malformation after surgery. When patients presented with SAH of no spinal symptoms, the diagnosis of an intradural-extramedullary cavernous malformation is challenging. A whole spinal workup should be considered in a patient with spontaneous SAH when bleeding from intracranial origin is carefully excluded.
机译：一名45岁的男子患有蛛网膜下腔出血（SAH），可通过腰椎穿刺证实，因为这在头部计算机断层扫描中呈阴性。神经系统检查结果正常。进行全脑血管造影和颅磁共振成像（MRI）后，未能找出出血原因。整个脊柱MRI显示在胸廓上层有硬膜内硬膜外肿块，与手术后的海绵状畸形一致。当出现无脊髓症状的SAH患者时，诊断硬脑膜外硬膜外海绵状畸形非常困难。自发性SAH的患者应仔细考虑整个颅脑检查，但要仔细排除颅内出血。

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