胼胝体出血9例临床分析

Analysis of 9 cases with corpus callosum hemorrhage

目的探讨胼胝体出血的临床特点。方法收集2010年6月至2018年6月胼胝体出血患者9例,男4例,女5例,年龄36~65岁。结合文献回顾性分析其临床特点。结果 9例胼胝体出血患者中,首发症状为头痛伴恶心呕吐5例,下肢失用1例,精神症状2例,异己手1例。胼胝体体部出血4例,压部出血2例,膝部出血3例。动静脉畸形4例,动脉瘤2例,烟雾综合征1例,未见异常2例。结论胼胝体出血无特异性临床表现,急性持续性头痛、突发精神情感障碍者应警惕胼胝体出血可能,脑血管检查可明确病因,预后较好。

Objective To investigate the clinical characteristics of corpus callosum hemorrhage.Methods The clinical characteristics of 9 patients with corpus callosum hemorrhage from June 2010 to June 2018 were analyzed retrospectively in combination with literat,among them,4 males and 5 females,the average age was 36~65 years old.Results Among the 9 patients with corpus callosum hemorrhage,the first symptoms were headache with nausea and vomiting in 5 cases,lower limb loss in 1 cases,mental symptoms in 2 cases,and 1 case of dissident hand.There were 4 cases of corpus callosum hemorrhage,2 cases of pressure hemorrhage and 3 cases of knee hemorrhage.There were 4 cases of arteriovenous malformation,2 cases of aneurysm and 1 case of smog syndrome,and no abnormalities were found in 2 cases.Conclusions There is no specific clinical manifestation of corpus callosum hemorrhage,acute persistent headache,patients with sudden mental affective disorder should be alert to the possibility of corpus callosum hemorrhage,cerebrovascular examination can identify the cause,the prognosis is better.