Intensive care management of acute hemorrhagic leukoencephalitis with favorable neurologic outcome
Bill Mastrodimos, MD
Gene H. Barnett, MDAddress reprint requests to G.H.B., The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195.
Issam A. Awad, MD
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.