近年我们收治自发性脑内血肿患者156例,其中,经手术和病理证实的微小血管畸形4例,现报告如下,并结合文献进行讨论。 例1 男,33岁。因头痛、呕吐20天,加重2天入院。既往无高血压史。查体见眼底水肿,视乳头边界消失,神经系统检查无局限性定位体征。CT平扫见右侧脑室前角有一球形高密度影突入侧脑室,大小4.5×3.5×3cm,增强扫描未见强化,脑血管造影未见异常血管。疑为瘤卒中行右额开颅探查术,进入侧脑室后见一暗紫色肿物由前外方突入侧脑室,切开 In recent years, we admitted 156 cases of patients with spontaneous intracerebral hematoma, of which, after surgery and pathology confirmed microvascular malformations in 4 cases, are reported as follows, combined with the literature to discuss. Example 1 male, 33 years old. Due to a headache, vomiting for 20 days, increased 2 days admission. No previous history of hypertension. Physical examination found fundus edema, optic disc disappeared border, no limitations of neurological examination of signs. CT scan to see the anterior chamber of the right ventricle with a high-density spherical shadow into the lateral ventricle, size 4.5 × 3.5 × 3cm, enhanced scan no enhancement, no abnormal blood vessels in cerebral angiography. Suspected of stroke right forehead craniotomy, after entering the lateral ventricle to see a dark purple tumor into the lateral ventricle by the former foreign body, incision