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患者男,24岁.10年内曾先后两次因颅内蛛网膜下腔出血住院治疗,后经MRI证实为脊髓动静脉畸形.首次发病在10年前患者在活动时突然出现剧烈头痛伴恶心、呕吐,头痛呈持续性,以后枕部为著.无意识障碍及二便失禁.查体:BP16/10kPa,神清语利.颅神经检查未见异常.脑膜刺激征(+).四肢活动自如.生理反射存在,病理反射未引出.腰穿检查:脑脊液均匀血性,压力2.2lkPa.按“蛛网膜下腔出血”收入院.住院期间曾行头颅CT、数字减影(DSA)等检查均无阳性所见.住院治疗30天后临床治愈出院.
The patient, male, was 24. He was hospitalized twice for intracranial subarachnoid hemorrhage within 10 years, and confirmed by MRI as spinal cord arteriovenous malformations. The first episode occurred in patients with sudden headache and nausea when they were active for 10 years. Vomiting, headache was persistent, after the occipital for unconsciousness and two incontinence. Examination: BP16 / 10kPa, Shen Qing language Lee. No abnormal cranial nerve examination. Meningeal irritation (+). Physiological reflex exists, the pathological reflex did not lead.Lumbar puncture examination: cerebrospinal fluid even bloody, pressure 2.2lkPa. According to “subarachnoid hemorrhage” income hospital .Hospitalized during head CT, digital subtraction (DSA) and other tests were not positive Seeing. Hospitalized cured after 30 days of hospitalization.