Ur Rab Zeeba Zaka, Beig Farzana K
Department of Paediatrics, J.N. Medical College Aligarh Muslim University, Aligarh, India.
J Coll Physicians Surg Pak. 2008 Aug;18(8):522-3.
Intracranial haemorrhage in typhoid fever is very rare. We report another case of non-traumatic intracranial hemorrhage in a 6-year-old boy suffering from typhoid fever, unconsciousness, seizure and non-coherent speech. Investigations revealed severe thrombocytopenia and prolonged prothrombin time. CT scan of brain showed intraparenchymal haemorrhage in frontal regions bilaterally with perilesional oedema, subarachnoid bleed and extension into the lateral ventricles. No aneurysm or arterio-venous malformation was seen on MR angiography. The patient recovered without any neurological deficit.
伤寒热并发颅内出血非常罕见。我们报告另一例6岁患伤寒热的男孩出现非创伤性颅内出血，伴有意识丧失、癫痫发作和言语不清。检查发现严重血小板减少和凝血酶原时间延长。脑部CT扫描显示双侧额叶实质内出血伴病灶周围水肿、蛛网膜下腔出血并延伸至侧脑室。磁共振血管造影未发现动脉瘤或动静脉畸形。患者康复后无任何神经功能缺损。
