急性硬膜下血肿伴透镜状ct表现:1例报告及文献复习

Q Medicine

Neurosurgery Quarterly Pub Date : 2016-05-01 DOI:10.1097/WNQ.0000000000000153

B. Gu, Sang-Youl Lee, J. H. Park

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引用次数: 0

摘要

尽管高密度透镜状表现是急性硬膜外血肿(AEDH)的典型表现，但以前的一些研究报道了急性硬膜下血肿(ASDH)在计算机断层扫描(CT)上的非典型表现。一名78岁妇女就诊，1天前出现右侧4级无力和头痛，无外伤史。脑部CT显示左侧高密度透镜状血肿伴周围月牙状改变。另一侧同时存在典型ASDH。术中未见硬膜外血肿，打开硬膜后见大量暗红色血肿。患者的临床病史和术前CT扫描的仔细观察可以使临床医生在手术前区分ASDH和AEDH。

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Acute Subdural Hematoma With Lentiform Computed Tomography Appearance: A Case Report and Review of the Literature

Although high-density lentiform appearance which is typical finding for acute epidural hematoma (AEDH) is unusual, several studies previously reported such atypical appearance of acute subdural hematoma (ASDH) on computed tomography (CT) scan. A 78-year-old woman visited our hospital with right-side grade IV weakness and headache that developed 1 day before, without any trauma history. Brain CT scan revealed left-side high-density lentiform hematoma with peripheral crescent changes. On the opposite side, there was simultaneous typical ASDH. During surgery, there was no epidural hematoma and a large amount of dark red–colored hematoma was seen after opening of dura. A clinical history of patient and careful observation of preoperative CT scan allows clinician to differentiate ASDH from AEDH before operation.

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来源期刊

Neurosurgery Quarterly 医学-神经科学

CiteScore

0.08

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurosurgery Quarterly synthesizes the broad wealth of material on international developments in the diagnosis, management, and surgical treatment of neurological disorders. By encompassing viewpoints from worldwide sources, the journal provides information in greater depth than is usually found in the medical literature.