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颅内蛛网膜下腔出血后慢性脊髓蛛网膜炎

Chronic spinal arachnoiditis following intracranial subarachnoid haemorrhage.

作者信息

Augustijn P, Vanneste J, Davies G

机构信息

Department of Neurology, St. Lucas Ziekenhuis, Amsterdam, The Netherlands.

出版信息

Clin Neurol Neurosurg. 1989;91(4):347-50. doi: 10.1016/0303-8467(89)90013-9.

Abstract

A 54-year-old woman presented with progressive gait imbalance and increased urinary frequency, associated with spinal arachnoiditis. The symptoms started after the occurrence of communicating hydrocephalus as a sequel of subarachnoid haemorrhage (SAH), and were initially attributed to post-SAH vasospasm, decompensating hydrocephalus and/or periventricular leuko-encephalopathy. Further clinical deterioration led to the diagnosis of thoracic spinal arachnoiditis, as a second complication of SAH.

摘要

一名54岁女性因脊髓蛛网膜炎出现进行性步态失衡和尿频。这些症状在蛛网膜下腔出血(SAH)后继发交通性脑积水后开始出现,最初被归因于SAH后血管痉挛、代偿失调性脑积水和/或脑室周围白质脑病。进一步的临床恶化导致诊断为胸段脊髓蛛网膜炎,这是SAH的第二种并发症。

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