Ulus Travma Acil Cerrahi Derg. 2012; 18(3): 277-279 | DOI: 10.5505/tjtes.2012.32392

Ýnsidental menenjiyomda izole hemorajik kontüzyon

Ki Seong Eom, Tae Young Kim
Wonkwang Üniversitesi Týp Fakültesi, Nöroþirürji Anabilim Dalý, Iksan, Güney Kore

Bu yazýda, kafa travmasý nedeniyle hastanemize baþvuran bir kadýn hastanýn bilgisayarlý tomografisinde (BT) hemorajik serebral kontüzyon benzeri radyolojik bulgular gösteren, insidental menenjiyoma eþlik eden nadir bir izole hemorajik kontüzyon olgusu sunuldu. Olgunun iki özelliði vardý. Birincisi, menenjiyom kafa travmasýna baðlý hemorajik kontüzyona neden olmakla birlikte beyin dokusunun bütünlüðü bozulmamýþtý. Ýkincisi, BT’de rastlantý sonucu fark edilen menenjiyomaya iliþkin hemorajik kontüzyonun serebral bir hemorajik kontüzyon olarak yanlýþ taný konulmuþ olmasý söz konusuydu. Bu olguda, bu nadir fenomeni açýklamaya yönelik olasý bir mekanizma önerdik.

Anahtar Kelimeler: Kafa yaralanmasý, hemorajik kontüzyon; rastlantýsal menenjiyom.

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Isolated hemorrhagic contusion of an incidental meningioma

Ki Seong Eom, Tae Young Kim
Department Of Neurosurgery, Wonkwang University School Of Medicine, Iksan, Korea

The authors present an unusual case of isolated hemorrhagic contusion of an incidental meningioma showing radiological findings similar to those of a hemorrhagic cerebral contusion on computed tomography (CT) in a female patient who presented to our hospital for head trauma. This case has two characteristics. First, although the meningioma had a hemorrhagic contusion due to head trauma, most of the brain tissue was intact. Second, there was a possibility that the hemorrhagic contusion of the incidental meningioma on CT was misdiagnosed as a cerebral hemorrhagic contusion. In this case, we propose a possible mechanism to explain this rare phenomenon.

Keywords: Head injury, hemorrhagic contusion; incidental meningioma

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ATIF KOPYALA