计算机断层扫描显示巨大慢性硬膜下血肿酷似脑梗死——病例报告

Huge chronic subdural hematoma mimicking cerebral infarction on computed tomography--case report.

作者信息

Shimizu Satoru, Ozawa Tatsuya, Irikura Katsumi, Sagiuchi Takao, Kan Shinichi, Fujii Kiyotaka

机构信息

Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.

出版信息

Neurol Med Chir (Tokyo). 2002 Sep;42(9):380-2. doi: 10.2176/nmc.42.380.

DOI:10.2176/nmc.42.380

PMID:12371593

Abstract

A 70-year-old male presented with progressive consciousness disturbance. He had a history of cerebrovascular accident in the left cerebral hemisphere. The initial diagnosis was newly developed extensive left cerebral hemispheric infarction based on computed tomography. However, magnetic resonance imaging and surgical findings were consistent with chronic subdural hematoma (CSDH). The preexisting neurological disease may have allowed such unexpected CSDH expansion.

摘要

一名70岁男性出现进行性意识障碍。他有左侧大脑半球脑血管意外病史。根据计算机断层扫描，初步诊断为新发生的广泛左侧大脑半球梗死。然而，磁共振成像和手术结果与慢性硬膜下血肿（CSDH）相符。先前存在的神经系统疾病可能导致了这种意外的CSDH扩大。