Henderson Robert D, Walker David G, Mitchell Ken, Read Stephan J
Department of Neurology, Royal Brisbane and Women's Hospital, and Department of Medicine, University of Queensland, Queensland, Australia.
Neurocrit Care. 2004;1(3):375-8. doi: 10.1385/NCC:1:3:375.
We present an unusual case that highlights a number of management dilemmas: the cause, investigation and treatment of subarachnoid hemmorrhage in patients iwth vascular connective tissue diseases; the further investigation of small aneurysms identified on CT angiography; and the difficulties associated with anticoagulation, mechanical cardiac valves and cerebral hemorrhage.
我们报告了一个不寻常的病例,该病例凸显了一些管理难题:血管性结缔组织疾病患者蛛网膜下腔出血的病因、检查及治疗;对CT血管造影发现的小动脉瘤的进一步检查;以及与抗凝、机械心脏瓣膜和脑出血相关的困难。