作者报导一例有白色中心的视网膜出血者为非感染性颅内囊样动脉瘤破裂。11岁既往健康的女孩,突发右前额部头痛,随之癫痫发作和短暂的意识丧失。两天内症状消失。二周后,头痛突然发作,随之昏睡和癫痫发作。颈强直,左侧偏瘫,双侧足底伸肌反射存在,不发热,心脏可听到收缩期喷射样杂音。眼底右视乳头边缘模糊,静脉充盈,视网膜多处火焰状出血,鼻下象限有4处舟状出血并具有突出的白色中心。CT扫描证实右侧脑室、第三脑室和第四脑室内出血和一个血肿,可能是来自大脑中动脉的动脉瘤。动脉造影显示一动脉瘤自右颈内动脉的分叉处发出, The authors report that a white center retinal hemorrhage ruptured non-infectious intracranial sac-like aneurysms. A healthy girl at age 11, with sudden onset of right frontal headache, followed by seizures and brief loss of consciousness. Symptoms disappear within two days. Two weeks later, a sudden onset of headache accompanied by drowsiness and seizures. Neck stiffness, left hemiplegia, bilateral plantar extensor reflex exists, not fever, the heart can hear systolic ejection-like murmur. Fundus right side of the nipple edge blurred, venous filling, multiple flaming retinal hemorrhage, nasal quadrant has 4 boat bleeding and has a prominent white center. CT scan confirmed right ventricle, third ventricle and fourth ventricle hemorrhage and a hematoma, may be from the middle cerebral artery aneurysms. Angiography showed an aneurysm emitted from the bifurcation of the right internal carotid artery,