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中脑周围非动脉瘤性蛛网膜下腔出血:文献综述

Perimesencephalic nonaneurysmal subarachnoid hemorrhage: review of the literature.

作者信息

Schwartz T H, Solomon R A

机构信息

Department of Neurological Surgery, Neurological Institute of New York, Columbia-Presbyterian Medical Center, New York, USA.

出版信息

Neurosurgery. 1996 Sep;39(3):433-40; discussion 440. doi: 10.1097/00006123-199609000-00001.

Abstract

OBJECTIVE

A critical review of the literature on the incidence, presentation, diagnosis, and prognosis of perimesencephalic nonaneurysmal subarachnoid hemorrhage.

METHODS

Review of the relevant literature.

CONCLUSION

The importance of early computed tomography (< 3 d), anatomy of the perimesencephalic and neighboring cisterns, and adequate four-vessel angiography are discussed. Treatment strategies, including the avoidance of repeated angiographic studies and surgical exploration, are presented.

摘要

目的

对中脑周围非动脉瘤性蛛网膜下腔出血的发病率、临床表现、诊断及预后的文献进行批判性综述。

方法

回顾相关文献。

结论

讨论了早期计算机断层扫描(<3天)、中脑周围及相邻脑池的解剖结构以及充分的四血管造影的重要性。提出了治疗策略,包括避免重复血管造影研究和手术探查。

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