神经损伤与功能重建Issue(4)：291-294,4.DOI:10.3870/sjsscj.2015.04.004
凸面蛛网膜下腔出血伴急性缺血性卒中1例报告并文献复习
Nontraumatic Convexal Subarachnoid Hemorrhage Concomitant with Acute Ischemic Stroke:Case Report and Literature Review
摘要
Abstract
Objective:Nontraumatic convexal subarachnoid hemorrhage (cSAH) is a relatively rare entity and we would report cSAH cases associated with acute ischemic stroke. Methods: We described 1 patient of cSAH who presented with ipsilateral acute ischemic stroke and identified an additional 13 cases in the Pubmed database and Chinese CNKI database using the MeSH terms convexal subarachnoid hemorrhage, intracranial stenosis, carotid stenosis, and ischemic stroke. We analyzed the background characteristics, clinical course, and outcomes of the 14 cases. Results: Fourteen cases were included, 9 male and 5 female cases. The average onset age was (54.9±10.3) years. Patients often presented with transient sensory and/or motor symptoms, whereas headaches typical of sub-arachnoid hemorrhage were rare. There were vascular risk factors in most cases. Predominant site of the cSAH lo-cated in the vicinity of the central sulcus. The cSAH typically showed ipsilateral involvement of severe intracranial stenosis or occlusion. The antiplatelet therapy seemed to be effective and most cases had a good outcome. Conclu-sion: Nontraumatic cSAH concomitant with acute ischemic stroke is an unusuall entity. Antiplatelets may be effec-tive and the overall outcome may be favorable in such patients.关键词
凸面蛛网膜下腔出血/缺血性卒中/颅内动脉狭窄/颈动脉狭窄Key words
convexal subarachnoid hemorrhage/ischemic stroke/intracranial stenosis/carotid stenosis分类
医药卫生引用本文复制引用
李杜娟,连立飞,梁钧昱,梁奇明,朱遂强..凸面蛛网膜下腔出血伴急性缺血性卒中1例报告并文献复习[J].神经损伤与功能重建,2015,(4):291-294,4.基金项目
国家自然科学基金 （）
