[脑膜出血的一种罕见且严重的并发症：伴有截瘫的脊髓蛛网膜炎]

[A rare and severe complication of meningeal hemorrhage: spinal arachnoiditis with paraplegia].

作者信息

Jourdan C, Artru F, Convert J, Ottolese C, Chiara Y, Naous H, Tixier S, Terrier A

机构信息

Service d'anesthésie et réanimation, Hôpital neurologique P. Wertheimer, Lyon.

出版信息

Agressologie. 1990 Jun;31(6):413-4.

PMID:2285117

Abstract

This observation relates a case of spinal arachnoiditis with paraplegia, for a 56 year old patient hospitalized for a S.A.H. by a ruptured aneurysm of the P.I.C.A. This patient present some complications, requiring a prolonged ventilatory support with a tracheostomy, a ventricular shunt for hydrocephalus. The treatment is only surgical, and the corticosteroids delay the evolution, but without successful outcome.

摘要

本观察报告了一例患有截瘫的脊髓蛛网膜炎病例，患者为一名56岁男性，因小脑后下动脉（PICA）动脉瘤破裂导致蛛网膜下腔出血（SAH）入院。该患者出现了一些并发症，需要通过气管切开进行长时间的通气支持，以及因脑积水进行脑室分流术。治疗仅采用手术方式，皮质类固醇可延缓病情发展，但未取得成功的结果。