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반복된 뇌실질 출혈로 진단이 늦어진 시상부 신경교모세포종

Other Titles
 Delayed Diagnosis of Thalamic Glioblastoma Presenting as Repeated Intracerebral Hemorrhages 
Authors
 Byeong Woo Kim  ;  Yu Shik Shim  ;  Jong Hee Chang  ;  Jung Yong Ahn 
Citation
 Journal of Korean Skull Base Society, Vol.3(1) : 48-52, 2008 
Journal Title
Journal of Korean Skull Base Society
ISSN
 1975-4639 
Issue Date
2008
Abstract
Although rare, neoplasms can be obstructed by intracerebral hemorrhage, delaying
histological diagnosis and proper treatment. We report the case of a 30-year-old male
presenting with serial intracerebral hemorrhages in the left thalamus. Stereotactic biopsy
failed to make histologic diagnosis; open biopsy, two months after the initial hemorrhage,
diagnosed glioblastoma. The characteristics of hemorrhage from glioblastoma drawn from
our experience and a comprehensive review of the literature include the following: (1) under
14 years of age or old age (2) deep seated supratentorial or posterior fossa location (3)
disproportionately diffuse brain edema (4) suspiciously enhancing mass lesion (5) irregular
shape and heterogeneous appearance with solid areas of blood, multiple hemorrhage, and
a ring-shaped hemorrhage. Direct proof of hemorrhagic origin is necessary for diagnosis
and treatment of intracerebral hemorrhage with atypical location, imaging findings, or clinical
course.
Full Text
https://ebook.kyobobook.co.kr/dig/pnd/scholardetail/product?cmdtcode=4010028796191
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Shim, Yu Shik(심유식)
Ahn, Jung Yong(안정용)
Chang, Jong Hee(장종희) ORCID logo https://orcid.org/0000-0003-1509-9800
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107232
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