中脑周围非动脉瘤性蛛网膜下腔出血  

Perimesencephalic nonaneurysmal subarachnoid hemorrhage(PNSH)

作　　者：梁恩和[1] 郝继山[1] 杨玉山[1] 李庆彬[1] 赵理乐[1] 

机构地区：[1]天津市环湖医院神经外科,天津300060

出　　处：《中国神经精神疾病杂志》2004年第3期173-174,共2页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的　提高对中脑周围非动脉瘤性蛛网膜下腔出血 (PNSH)的认识水平以指导临床诊治。方法　回顾性分析 2 4例PNSH病人的临床表现、影像学资料、治疗及预后情况。结果　本组 2 4例病人发病 1～ 14d内DSA检查均阴性 ,经治疗全部治愈出院 ,平均病程 2 9d。随访 3个月至 5年 ,无严重的脑血管痉挛、脑积水和再出血发生。结论　PNSH是一种特殊类型的SAH ,提高对其认识 ,对临床治疗工作有重要的指导意义。Objective To promote the understanding perimesencephalic nonaneurysmal subarachnoid hemorrhage(PNSH) and show light on the clinical diagnosis and treatment of that. Methods 24 cases were retrospectively investigated, including the clinical data, imaging features, treatments and prognosis. Results All cases in the group were examine by DSA in 14 days from onset, as a result, no aneurysm was ever found. All patients were cured, without serious cerebral vasospasms, hydrocephalus, or rebleeding. The average course of disease was 29 days. Conclusions The PNSH is a special SAH. Further understanding for PNSH is absolutely important for its diagnosis and treatment.

关 键 词：中脑 脑池 蛛网膜下腔出血 

分 类 号：R743.3[医药卫生—神经病学与精神病学]