【摘要】 目的总结中脑周围非动脉瘤性蛛网膜下腔出血(PNSH)的临床特点、治疗及预后情况。方法回顾性分析11例PNSH患者的临床表现、影像学资料、诊断及治疗情况,并进行随访,了解预后情况。结果11例PNSH患者发病时均无意识障碍,无神经系统定位体征,临床症状均较轻,Hunt-Hess分级为I~II级,无脑室内出血,无脑积水,所有病例均治愈出院。随访12~60个月,平均26个月,无患者遗留永久性神经功能障碍,全部患者无再出血,恢复原工作及生活。结论PNSH患者临床症状较轻,并发症少,预后良好。更多还原

【Abstract】 Objective To investigate the clinical features,treatment and prognosis of perimesencephalic nonaneurysmal subarachnoid hemorrhage(PNSH).Methods The clinical data of 11 patients with PNSH,including clinical manifestations,imaging,diagnosis and treatment data,were analyzed retrospectively.The prognoses in the patients with PNSH were understood by following up.Results There were not conscious disturbance,signs of nervous system orientation,intraventricular hemorrhage and hydrocephalus in all the patients,in whom there were relatively light clinical symptoms,and disease condition of Hunt-Hess grades Ⅰ～Ⅱ.The following up from 12 to 60 months showed that all the patients were cured.There were not permanent neurological dysfunction and rebleeding in all the patients,who returned to normal work and living.Conclusions The clinical symptoms are lighter and the complications are less in the patients with PNSH whose prognoses are good,than those in the patients with aneurismal SAH.更多还原