【摘要】 我们治疗了9例被误诊为各种不同类型脑血管病的颅内占位性病变。本文代表性地报告其中7例,并结合国内外文献对其发生机制和误诊原因加以分析和探讨。在本文报告的病例中,有1例较为少见的双侧慢性硬膜下血肿,曾被误诊为震颤麻痹,我们参考近年国外文献报告,论述了产生的机制可能与基底节的移位或可能影响大脑后动脉和脉络膜前动脉的血循环而出现锥外系症状有关。更多还原

【Abstract】 Nine cases were reported.The so-called “cerebrovascular disorders” misdiagnosedincluded 2 cases of SSAH,2 cases of cerebral vascular malformation,one cerebralhemorrhage,2 cases of cerebral infarction,one cerebellar hemorrhage and one par-kinsonian syndrome.The 9 pathological findings included 7 brain tumors,one cerebral abscess andone bilateral chronic subdural hematoma,while 7 case-histories of which were pre-sented in this article.Extrapyramidal symptoms have been known as a rare complication in chronicsubdural hematoma,however,the author has described a parkinsonian syndrome sub-sequent to bilateral subdural hematoma.The clinical features of parkinsonian syndrome might be caused by mechanicalcompression on the basal ganglion nuclei directly from the hematoma,or indirectlydue to distorsion or displacement of deep brain structures,or due to brain hernia-tion through the tentorial notch.Transient circulatory disturbances of basal ganglionstructures might be caused by the displacement of or compression on the anteriorchoroidal or posterior cerebral arteries.更多还原