Wilms G, Marchal G, Geusens E, Raaijmakers C, Van Calenbergh F, Goffin J, Plets C
Department of Radiology, University Hospitals K.U. Leuven, Belgium.
Neuroradiology. 1992;34(6):497-9. doi: 10.1007/BF00598959.
MRI findings are described in two patients with subdural haematomas isodense on CT. In one patient, admitted 6 weeks after trauma, a chronic subdural haematoma showed extreme hypointensity on T2-weighted images, suggesting acute trauma, and therefore acute rebleeding. In the second patient with severe anaemia, an acute subdural haematoma was hyperintense on T2-weighted images, suggesting chronic trauma; this may be explained by the low haematocrit and a possible mixture of blood with cerebrospinal fluid. The MRI features of subdural haematomas and hygromas have to be kept in mind, in order not to misjudge the age of the haematoma.
本文描述了两名CT显示为等密度硬膜下血肿患者的MRI表现。其中一名患者在创伤后6周入院,慢性硬膜下血肿在T2加权图像上显示为极低信号,提示急性创伤,因此存在急性再出血。另一名患有严重贫血的患者,急性硬膜下血肿在T2加权图像上呈高信号,提示慢性创伤;这可能是由于血细胞比容低以及血液可能与脑脊液混合所致。必须牢记硬膜下血肿和硬膜下积液的MRI特征,以免误判血肿的时间。