Intensive care management of acute hemorrhagic leukoencephalitis with favorable neurologic outcome.
A 36-year-old woman who presented with acute hemorrhagic leukoencephalitis survived with favorable neurologic outcome. The patient underwent evacuation of a right temporal hematoma, with aggressive postoperative management in the neurosurgical intensive care unit. Aggressive surgical and medical therapy, including high-dose corticosteroid therapy and continuous intracranial pressure monitoring may yield favorable outcomes in an entity previously associated with dismal neurologic prognosis.
Mastrodimos
B
B
Department of Neurological Surgery, Cleveland Clinic Foundation, OH 44195.
Barnett
G H
GH
Awad
I A
IA
D000208:Acute Disease; D000328:Adult; D002543:Cerebral Hemorrhage / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D003422:Critical Care; D003907:Dexamethasone / Q000008:administration & dosage; D004660:Encephalitis / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006968:Hypersensitivity, Delayed / Q000150:complications; D007239:Infections / Q000150:complications; D007427:Intracranial Pressure; D008353:Mannitol / Q000008:administration & dosage; D008991:Monitoring, Physiologic; D011379:Prognosis; D016896:Treatment Outcome
D008353:Mannitol; D003907:Dexamethasone