Boviatsis E J, Maratheftis N L, Kouyialis A T, Sakas D E
Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital, 45 Ipsilantou Street, 106 76, Athens, Greece.
Clin Neurol Neurosurg. 2003 Jul;105(3):225-8. doi: 10.1016/s0303-8467(03)00022-2.
We report a 56-year-old man, with atypical presentation of an extradural hematoma caused by head injury after a fall. The presence of a temporal arachnoid cyst on the grounds of temporal lobe agenesis altered the clinical image of this man, causing only mild symptoms where an otherwise acute neurologic deterioration would be expected in the case of an epidural hematoma of such extent. The hematoma was evacuated through a left pterional craniotomy and a tear in the middle meningeal vein was recognized as the source of bleeding. Postoperative course was uneventful and the patient was discharged within 5 days. An extensive review of literature available to us revealed only 5 other such cases reported that all were younger patients.
我们报告了一名56岁男性，因跌倒致头部受伤后出现非典型的硬膜外血肿表现。因颞叶发育不全存在颞部蛛网膜囊肿，改变了该患者的临床影像，在此种程度硬膜外血肿情况下，若没有囊肿通常会出现急性神经功能恶化，而该患者仅出现轻微症状。通过左翼点开颅术清除血肿，术中发现脑膜中静脉撕裂是出血来源。术后病程平稳，患者在5天内出院。我们所能查阅的大量文献中仅发现另外5例类似病例报道，所有这些患者均较年轻。
