Kim Seung Soo, Go Kyeong-O, Park Hyun, Lee Kwangho, Ryu Gyeong Hwa, Baek Hye Jin, Jung Seunguk, Yoon Chang Hyo, Park Young-Seop, Hwang Soo Hyun
Department of Neurosurgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, South Korea.
Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
J Cerebrovasc Endovasc Neurosurg. 2019 Mar;21(1):18-23. doi: 10.7461/jcen.2019.21.1.18. Epub 2019 Mar 31.
The presence of primary intraventricular hemorrhage (IVH) without vascular lesion is very rare. We experienced solitary IVH without subarachnoid hemorrhage due to aneurysmal rupture in a 58-year-old man treated with coil embolization, which contributed to his good prognosis. After 33 days of hospitalization, he had mild right hemiplegic symptoms remaining, and he was transferred to a rehabilitation institute for further treatment. In cases of primary IVH, computed tomography angiography seems worthwhile for making a differential diagnosis, although the possibility of IVH due to cerebral aneurysmal rupture is very low. Endovascular intervention is a good option for diagnosis and treatment.
原发性脑室内出血（IVH）且无血管病变的情况非常罕见。我们遇到一名58岁男性，因动脉瘤破裂导致单纯性IVH且无蛛网膜下腔出血，接受了弹簧圈栓塞治疗，这有助于他获得良好的预后。住院33天后，他仍有轻度右侧偏瘫症状，随后被转至康复机构进行进一步治疗。对于原发性IVH病例，计算机断层血管造影术似乎有助于进行鉴别诊断，尽管脑动脉瘤破裂导致IVH的可能性非常低。血管内介入是诊断和治疗的一个良好选择。
