论文部分内容阅读
目的探讨中脑周围非动脉瘤性蛛网膜下腔出血(PNSH)的临床特征、影像学特点及诊治。方法回顾性分析我科收治的3例PNSH患者的临床资料,并复习文献。结果3例患者均在活动状态下起病,主要临床表现头痛、呕吐、脑膜刺激征,1例有意识障碍。CT示蛛网膜下腔出血(SAH)位于中脑周围的脑池内,全脑血管造影(DSA)无阳性发现,采用保守疗法无再出血、症状性脑出血痉挛和脑积水等并发症。结论PNSH是一种临床症状轻且预后佳的特殊类型的SAH,CT具有特征性表现,CT血管造影(CTA)或DSA检查阴性可确诊本病。
Objective To investigate the clinical features, imaging features and diagnosis and treatment of mid-cerebral non-aneurysmal subarachnoid hemorrhage (PNSH). Methods The clinical data of 3 PNSH patients admitted to our department were reviewed retrospectively. Results All 3 patients were active in the active state, the main clinical manifestations of headache, vomiting, meningeal irritation, 1 case of conscious disturbance. CT showed subarachnoid hemorrhage (SAH) is located in the brain pool around the midbrain, cerebrovascular angiography (DSA) no positive findings, the use of conservative therapy without rebleeding, symptomatic cerebral hemorrhage spasm and hydrocephalus and other complications. Conclusions PNSH is a special type of SAH with mild clinical symptoms and good prognosis. CT has the characteristic features. CT scan angiography (CTA) or negative DSA can diagnose the disease.