Nasseri Farbod, Hunter Jill V, Elenberg Ewa, Muscal Eyal
Department of Radiology, Baylor College of Medicine, Houston, TX 77030, USA.
J Child Neurol. 2012 Aug;27(8):1048-51. doi: 10.1177/0883073811430765. Epub 2012 Jan 30.
Intraventricular hemorrhage is a rare finding in patients with the posterior reversible encephalopathy syndrome and generally carries a poor prognosis. We report a unique case of an 18-year-old girl with glomerulonephritis who developed posterior reversible encephalopathy syndrome without hypertension but with a primary intraventricular hemorrhage and subarachnoid blood without demonstrable parenchymal blood. The normotensive presentation of posterior reversible encephalopathy syndrome and intraventricular hemorrhage in association with systemic vasculitis is rare. Our patient had a good initial outcome and was discharged with resolution of her symptoms and signs of raised intracranial pressure.
脑室内出血在伴有后部可逆性脑病综合征的患者中较为罕见，通常预后较差。我们报告了一例独特的病例，一名18岁患有肾小球肾炎的女孩，她出现了后部可逆性脑病综合征，并无高血压，但发生了原发性脑室内出血和蛛网膜下腔出血，而脑实质内未见出血。后部可逆性脑病综合征合并脑室内出血且血压正常与系统性血管炎相关的情况较为罕见。我们的患者初始预后良好，出院时症状及颅内压升高的体征均已消失。
