Shuaib A
Department of Medicine Neurology, University Hospital, Saskatoon, Saskatchewan, Canada.
Can J Neurol Sci. 1991 Aug;18(3):356-7. doi: 10.1017/s0317167100031954.
Most patients with brainstem hemorrhage have a poor prognosis. There are occasional reports of a favorable outcome with hematomas restricted to the mid-brain region. We report two patients with hematomas within the lower brainstem (pons and medulla) who made a good recovery. Diagnosis was unsuspected until the cranial CT scan was done. Angiography was normal in both cases. Recovery was excellent in one and fair in the second patient. Patients with medullary hemorrhage are at risk for aspiration and may suddenly develop respiratory arrest and therefore should be carefully observed. Our review of the literature suggests that with some small brain-stem hemorrhages recovery is good to excellent and recurrences are rare.
大多数脑干出血患者预后较差。偶尔有报道称血肿局限于中脑区域时预后良好。我们报告了两名下脑干（脑桥和延髓）有血肿但恢复良好的患者。在进行头颅CT扫描之前，诊断未被怀疑。两例血管造影均正常。一例患者恢复极佳，另一例恢复尚可。延髓出血患者有吸入风险，可能突然发生呼吸骤停，因此应仔细观察。我们对文献的回顾表明，一些小的脑干出血恢复良好至极佳，且复发罕见。
