CHRONIC KIDNEY DISEASE AND HYPERTENSION AS CAUSE OF INTRAVENTRICULAR HEMORRHAGE IN A YOUNG PATIENT. CLINICAL CASE

摘要

We present the case of a 32-year-old man, smoker, with medical history of chronic kidneydisease on dialysis for 5 years, renovascular hypertension, lacunar ischemic stroke one year ago, lefthemiparesis predominantly facially and brachially, hydrocephalus, with a suddenly onset of headache,nausea, vomiting, confusion, an hour previous presentation, while on dialysis. Neurological examinationshows gait impairment, rotator nystagmus on right gaze, right hemiparesis (pronator sign), normalosteotendinous reflexes, bilateral Babinski sign, normal language, disoriented in time and space,confused. CT scan revealed third ventricle hemorrhage with normotensive hydrocephalus and noarteriovenous malformation was found on angio CT. After medication and neurosurgical treatment, theoutcome was good.