颅内多发散在出血伴前交通动脉瘤一例

A Case of Intracranial Hemorrhage with Anterior Communicating Aneurysm

摘要: 颅内出血是颅脑外伤中常见的颅脑损伤，颅内出血可轻到无任何症状，重到急性脑疝死亡。颅脑出血病情复杂，变化多端。并且，当散在多发脑实质血肿时，与脑转移瘤存在一定鉴别困难。本文通过对1例患者术前考虑转移瘤，术中及术后证实是脑出血的占位性病变患者进行报道，为鉴别脑转移瘤与脑多发散在出血提供更多参考，从而，提高诊断率，减少误诊，为患者提供最佳治疗。

Abstract: Intracranial hemorrhage is a common traumatic brain injury. Intracranial hemorrhage can be mild to no symptoms, severe to acute brain hernia death. Intracranial hemorrhage is complex and changeable, and it is difficult to distinguish it from metastatic tumor when it is scattered in multiple parenchymal hematoma. In this paper, we reported a case of a patient with space-occupying lesions who was considered to have metastases before surgery and confirmed to be cerebral hemorrhage during and after surgery, so as to provide more reference for differentiating brain metastases from cerebral hemorrhage. Thus, the diagnostic rate can be improved, misdiagnosis can be reduced, and the best treatment can be improvised for patient.