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.