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患者患有 Evans 综合征,出现孤立性非创伤性、非动脉瘤性大脑凸面蛛网膜下腔出血。

Isolated non-traumatic, non-aneurysmal convexal subarachnoid hemorrhage in a patient with Evans syndrome.

机构信息

Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra, Serdang, Malaysia.

Department of Imaging, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Level 3, 43400, Serdang, Selangor, Malaysia.

出版信息

BMC Neurol. 2017 Aug 25;17(1):165. doi: 10.1186/s12883-017-0944-9.

Abstract

BACKGROUND

Non-traumatic, spontaneous subarachnoid hemorrhage occurs in approximately 85% of cases where there is a ruptured saccular aneurysm. An additional 10% of cases arise from non-aneurysmal peri-mesencephalic hemorrhages.

CASE PRESENTATION

We report a rare case of a young female, with underlying Evans syndrome, who was initially thought to have non-hemorrhagic stroke, eventually diagnosed having isolated non-traumatic, non-aneurysmal convexal subarachnoid haemorrhage.

CONCLUSIONS

Spontaneous non-traumatic, non-aneurysmal convexal subarachnoid hemorrhage is a rare entity - of which there are multiple possible etiologies.

摘要

背景

非创伤性、自发性蛛网膜下腔出血约占破裂囊状动脉瘤的 85%。另有 10%的病例由非动脉瘤性间脑周围出血引起。

病例介绍

我们报告了一例罕见的年轻女性病例,她患有潜在的 Evans 综合征,最初被认为患有非出血性中风,最终被诊断为孤立性非创伤性、非动脉瘤性凸面蛛网膜下腔出血。

结论

自发性非创伤性、非动脉瘤性凸面蛛网膜下腔出血是一种罕见的疾病,可能有多种病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf6/5572068/7fb82a662c7c/12883_2017_944_Fig1_HTML.jpg

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