Missori P, Maraglino C, Tarantino R, Salvati M, Calderaro G, Santoro A, Delfini R
Department of Neurosciences, Neurotraumatology and Neurosurgery I, University of Rome, La Sapienza, viale del Policlinico 155, 00161, Rome, Italy.
Clin Neurol Neurosurg. 2000 Dec;102(4):199-202. doi: 10.1016/s0303-8467(00)00102-5.
The clinical findings in 31 patients with chronic subdural haematoma (CSH), aged between 20 and 50, are described. Aetiopathogenetic factors responsible for the formation of CSH match those of patients aged over 50 with CSH. A history of cranial trauma was present in 77% of the cases. In the remaining patients, a defect of haemostatic mechanisms was responsible for the subdural blood collection. On the computed tomography (CT) the haematoma generally appears as a thin subdural layer. The reliability of magnetic resonance imaging for detection of CSH makes it the most desirable investigation in such patients. Prognosis is influenced by preoperative clinical status and by the disease responsible for the formation of CSH.
本文描述了31例年龄在20至50岁之间的慢性硬膜下血肿（CSH）患者的临床 findings。导致CSH形成的病因发病因素与50岁以上CSH患者的病因发病因素相匹配。77%的病例有颅脑外伤史。在其余患者中，止血机制缺陷是硬膜下血肿形成的原因。在计算机断层扫描（CT）上，血肿通常表现为一层薄薄的硬膜下层。磁共振成像检测CSH的可靠性使其成为此类患者最理想的检查方法。预后受术前临床状况和导致CSH形成的疾病影响。
