动脉瘤破裂导致的孤立性脑室内出血而无蛛网膜下腔出血：一例报告

Solitary intraventricular hemorrhage without subarachnoid hemorrhage due to aneurysmal rupture: a case report.

作者信息

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

机构信息

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.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2019 Mar;21(1):18-23. doi: 10.7461/jcen.2019.21.1.18. Epub 2019 Mar 31.

DOI:10.7461/jcen.2019.21.1.18

PMID:31832383

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6901810/

Abstract

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.

摘要

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。