硬膜下血肿伴短暂神经功能缺损的三例病例：磁共振成像流体减弱反转恢复图像中颅底高密度的重要性。

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-04-01 Epub Date: 2024-09-04 DOI:10.2169/internalmedicine.4001-24

Nobutaka Takahashi, Takayasu Mishima, Daito Nakamura, Shinsuke Fujioka, Yoshio Tsuboi

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引用次数: 0

摘要

患者1（82岁）反复出现左上肢无力和麻木，患者2（71岁）出现一过性构音障碍，患者3（70岁）出现一过性语言障碍。磁共振成像显示，责任病灶附近有硬膜下血肿，血肿附近的脑沟有脑沟高密度（SHI）。患者 1 和 2 自发好转，而患者 3 在服用抗癫痫药物后好转。与 SHI 相关的硬膜下血肿可能会出现短暂的局灶性神经功能缺损，其表现机制与 TIA 不同。

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Three Cases of Subdural Hematoma with Transient Neurological Deficits: Importance of Sulcal Hyperintensity in Magnetic Resonance Imaging Fluid-attenuated Inversion Recovery Images.

Patient 1 (82 years old) had recurrent weakness and numbness in the left upper extremity, Patient 2 (71 years old) had transient dysarthria, and Patient 3 (70 years old) had transient apraxia of speech. Transient ischemic attack (TIA) was suspected; however, all three women had a history of head trauma before the symptom onset, and magnetic resonance imaging revealed subdural hematomas near the responsible lesions associated with sulcal hyperintensity (SHI) in the cerebral sulcus near the hematoma. Patients 1 and 2 improved spontaneously, whereas Patient 3 improved with antiseizure medication. Subdural hematomas associated with SHI may have transient focal neurological deficits that manifest through a mechanism unlike TIA.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.