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目的:总结以脑卒中形式起病的颅内肿瘤的主要临床表现及误诊原因,减少颅内肿瘤早期误诊误治。方法:回顾2005-07-2009-12神经内科收治的以脑卒中形式起病的颅内肿瘤12例的诊治经过。结果:部分颅内肿瘤以脑卒中形式起病,包括原发性(9例)和转移性(3例)颅内肿瘤,并且可表现为缺血性(10例)和出血性(2例)脑卒中。结论:以脑卒中形式起病的颅内肿瘤易造成误诊,应结合临床表现、既往史、CT或MRI等多方面进行鉴别。
Objective: To summarize the main clinical manifestations and causes of misdiagnosis of intracranial tumors with stroke, and to reduce the misdiagnosis and mistreatment of intracranial tumors in the early stage. Methods: The diagnosis and treatment of 12 cases of intracranial tumors that had onset in the form of stroke were reviewed retrospectively during the period of 2005-07-2009-12. Results: Some intracranial tumors started to develop in the form of stroke, including primary (9 cases) and metastatic (3 cases) intracranial tumors and showed ischemic (10 cases) and hemorrhagic (2 cases) Stroke. Conclusion: The intracranial tumors that start in the form of stroke are likely to be misdiagnosed, and should be identified in combination with clinical manifestations, past history, CT or MRI.