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[非动脉瘤性中脑周围蛛网膜下腔出血:1例报告及文献复习]

[Perimesencephalic subarachnoid hemorrhage nonaneurysmatic: report of a case and literature review].

作者信息

Tsubouchi M H, Arruda W O, Ramina R, Meneses M S, Pedrozo A A, Favorito L F, Clemente R S

机构信息

Unidade de Ciências Neurológicas, Hospital das Naçóes, Curitiba, PR, Brasil.

出版信息

Arq Neuropsiquiatr. 1994 Mar;52(1):78-81. doi: 10.1590/s0004-282x1994000100014.

Abstract

A 42 year-old man with subarachnoid hemorrhage was admitted in our Service (Hunt & Hess grade II). CT-scan disclosed predominantly perimesencephalic subarachnoid hemorrhage. Digital subtraction angiographic study did not disclose either cerebral aneurysm or any other potential site of intracranial bleeding. The evolution was uneventful. A DSA was repeated one month later and was negative. Four months later, the patient was asymptomatic. The authors review the literature and emphasize the importance in recognizing this benign clinical form of nonaneurysmatic subarachnoid hemorrhage.

摘要

一名42岁的蛛网膜下腔出血男性患者入住我院(Hunt & Hess分级II级)。CT扫描显示主要为中脑周围蛛网膜下腔出血。数字减影血管造影研究未发现脑动脉瘤或任何其他颅内出血的潜在部位。病情进展平稳。1个月后重复进行DSA检查,结果为阴性。4个月后,患者无症状。作者回顾了文献并强调了认识这种非动脉瘤性蛛网膜下腔出血的良性临床形式的重要性。

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