Intracerebral Hemorrhage Caused by a Neoplastic Aneurysm From Pleomorphic Lung Carcinoma-Case Report

被引：10

作者：

Nomura, Ryutaro ^{[1
]}

Yoshida, Daizo ^{[1
]}

Kim, Kyongsong ^{[1
]}

Kobayashi, Shiro ^{[1
]}

Teramoto, Akira ^{[1
]}

机构：

[1] Nippon Med Sch, Dept Neurosurg, Bunkyo Ku, Tokyo 1138603, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2009年 / 49卷 / 01期

关键词：

intracerebral hemorrhage; neoplastic aneurysm; pleomorphic lung carcinoma; LEFT ATRIAL-MYXOMA; CEREBRAL ANEURYSM; METASTATIC CHORIOCARCINOMA; THROMBOSIS; CANCER;

D O I：

10.2176/nmc.49.33

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 61-year-old man presented with an extremely rare neoplastic cerebral aneurysm caused by brain metastasis from pleomorphic lung carcinoma manifesting as intracerebral hematoma and sudden onset of semicoma. Computed tomography demonstrated huge intracerebral hemorrhage in the left cerebral hemisphere, which had collapsed into the lateral ventricle. Cerebral angiography disclosed a fusiform aneurysm in the periphery of the left middle cerebral artery (approximately 2 mm diameter). Resection of the aneurysm and removal of the hematoma were performed. Histological examination revealed that the aneurysm walls were invaded by pleomorphic carcinoma. The present case indicates that neoplastic cerebral aneurysm may be the cause of intracerebral hemorrhage in patients with pleomorphic lung carcinoma.

引用

页码：33 / 36

页数：4

共 25 条

[1] Intracranial aneurysms associated with other lesions, disorders or anatomic variations [J].

Biondi, Alessandra .

NEUROIMAGING CLINICS OF NORTH AMERICA, 2006, 16 (03) :467-+

[2] The new World Health Organization classification of lung tumours [J].

Brambilla, E ;

Travis, WD ;

Colby, TV ;

Corrin, B ;

Shimosato, Y .

EUROPEAN RESPIRATORY JOURNAL, 2001, 18 (06) :1059-1068

[3] LEFT ATRIAL-MYXOMA WITH CEREBRAL EMBOLI [J].

BRANCH, CL ;

LASTER, DW ;

KELLY, DL .

NEUROSURGERY, 1985, 16 (05) :675-680

[4] METASTATIC CHORIOCARCINOMA WITH NEOPLASTIC ANEURYSMS CURED BY ANEURYSM RESECTION AND CHEMOTHERAPY - CASE-REPORT [J].

FUJIWARA, T ;

MINO, S ;

NAGAO, S ;

OHMOTO, T .

JOURNAL OF NEUROSURGERY, 1992, 76 (01) :148-151

[5] Neoplastic cerebral aneurysm from metastatic lung adenocarcinoma associated with cerebral thrombosis and recurrent subarachnoid haemorrhage [J].

Gliemroth, J ;

Nowak, G ;

Kehler, U ;

Arnold, H ;

Gaebel, C .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1999, 66 (02) :246-247

[6]

Hisanaga M, 1988, Neurol Med Chir (Tokyo), V28, P398, DOI 10.2176/nmc.28.398

[7]

HO KL, 1982, CANCER, V50, P2935, DOI 10.1002/1097-0142(19821215)50:12<2935::AID-CNCR2820501238>3.0.CO

[8]

2-Z

[9]

HOVE B, 1990, NEURORADIOLOGY, V2, P526

[10]

IIHARA K, 1991, SHINKEI GEKA, V19, P857

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