Kurosu Akihiro, Suzukawa Katsumi, Amo Masashi, Horinaka Naoaki, Arai Hajime
Department of Neurosurgery, Misato Junshin General Hospital, Misato, Saitama, Japan.
Neurol Med Chir (Tokyo). 2007 Jun;47(6):258-60. doi: 10.2176/nmc.47.258.
A 37-year-old man presented with perimesencephalic non-aneurysmal subarachnoid hemorrhage associated with cavernous sinus thrombosis. Anticoagulant therapy was administered to treat the cavernous sinus thrombosis, but provoked severe intracranial hemorrhage, severely disabling the patient. Perimesencephalic non-aneurysmal subarachnoid hemorrhage is a benign clinical entity with generally good prognosis, but the association with cavernous sinus thrombosis requires careful investigation prior to treatment.
一名37岁男性患者出现了与海绵窦血栓形成相关的中脑周围非动脉瘤性蛛网膜下腔出血。给予抗凝治疗以治疗海绵窦血栓形成，但引发了严重的颅内出血，使患者严重致残。中脑周围非动脉瘤性蛛网膜下腔出血是一种临床良性疾病，通常预后良好，但与海绵窦血栓形成的关联在治疗前需要仔细研究。
