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本文报道29例以脑卒中为首发症状的脑肿瘤,其中26例经手术和病理检查证实,余3例经脑血管造影和脑室碘水造影确诊。临床表现①以急性或进展型脑卒中起病19例;②以珠网膜下腔出血起病4例;③以记忆力衰退酷似脑动脉硬化症2例;④以小卒中起病4例。文章对其发病机理进行分析。
This article reports 29 cases of brain tumors with stroke as the first symptom, of which 26 cases were confirmed by surgery and pathology, and more than 3 cases were diagnosed by cerebral angiography and intraventricular iodine water imaging. Clinical manifestations ① acute or progressive stroke onset in 19 cases; ② subretinal hemorrhage in 4 cases; ③ memory recession resembles cerebral arteriosclerosis in 2 cases; ④ onset of stroke in 4 cases. The article analyzes its pathogenesis.