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报告5例经CT和/或病理证实的大脑半球肿瘤合并脑梗塞,均为年龄较大的成人,有高血压史;肿瘤较良性,且同梗塞灶缺少联系;有双侧病理征,在积极的抗中风治疗后,局灶体征改善,而全脑症状仍明显或出现同脑梗塞无关的局限性癫痫、颅内压增高或其它神经症状必须考虑颅内同时并存两种病变,应及时检查以确诊。在脑梗塞的急性期和恢复期摘除肿瘤各2例,其预后有显著差异,提示恢复期择机手术的疗效较好。
Report of 5 cases of cerebral hemispheres tumor confirmed by CT and / or pathology with cerebral infarction, are older adults with a history of hypertension; benign tumors, and the lack of contact with the infarction; bilateral pathological signs in the active Of the anti-stroke treatment, focal signs improved, while the whole brain symptoms are still apparent or associated with cerebral infarction has limitations unrelated to epilepsy, increased intracranial pressure or other neurological symptoms must be considered both intracranial lesions coexist, should be promptly examined to Confirmed. In acute and convalescent stages of cerebral infarction, 2 cases of tumor were removed, and the prognosis was significantly different, suggesting that the curative effect of selective operation in recovery period is better.