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自发性枕叶脑出血较少见,且诊断困难。CT 扫描应用临床后,不少患者被证实为枕叶脑出血。作者经治14例枕叶脑出血,现报告如下。临床资料14例中男9例,女5例。年龄最小者20岁,最大者73岁,60～73岁者9例(占64%)。表现为剧烈头痛、呕吐5例,突然视物不清4例,意识不清4例,不说话、反复伸舌头1例。同向偏盲10例,4例因昏迷、神志不清不能测视野。偏身无力2例,一侧 Babinski 征阳性1例,双侧阳性3例,抽搐1例,颈强直12例。14例中1例做腰穿,压力285mmH_2o,化验正常,头颅 CT 扫描证实为枕叶脑出血,行脑血管造影为左大脑后动脉畸形。CT 脑扫描见枕叶出血3例,顶后枕叶出血6例,颞后枕叶出血5例。
Spontaneous occipital lobe hemorrhage is rare, and the diagnosis is difficult. Clinical application of CT scanning, many patients have been identified as occipital lobe cerebral hemorrhage. The author of 14 cases of occipital lobe cerebral hemorrhage, are as follows. 14 cases of clinical data in 9 males and 5 females. The youngest person is 20 years old, the oldest is 73 years old and the age is 60-73 years, 9 cases (64%). Manifested as severe headache, vomiting in 5 cases, 4 cases of sudden blurred vision, unconsciousness in 4 cases, do not speak, repeated tongue 1 case. Eleven hemiplegia in 10 cases, 4 cases of unconsciousness, unconsciousness can not be measured field of vision. 2 cases of weakness, Babinski sign on one side of the positive in 1 case, bilateral positive in 3 cases, convulsions in 1 case, 12 cases of neck stiffness. One of 14 patients underwent lumbar puncture at a pressure of 285 mmH 2 O with a normal test. The cranial CT scan confirmed occipital lobe cerebral hemorrhage and cerebral angiography as a posterior cerebral artery malformation. 3 cases of occipital lobe hemorrhage, 6 cases of occipital lobe hemorrhage and 5 cases of temporal occipital lobe hemorrhage after CT scan.