Gogolev M P, Cheremkin S N
Lik Sprava. 1992 Jun(6):119-21.
A study is presented of 37 cases of chronic subdural hematomas. Initial manifestations: headache, epileptic seizures, mental disorders. Involvement of the III, V, VII cranial nerves, anisocoria almost in 50% on the contralateral side were noted. CSF xanthochromia is of certain diagnostic significance. Carotid angiography is the most informative method. Osteoplastic trephination with evacuation of the hematoma is the method of choice.
本文报道了37例慢性硬膜下血肿病例。初始表现:头痛、癫痫发作、精神障碍。观察到Ⅲ、Ⅴ、Ⅶ对脑神经受累,近50%患者对侧出现瞳孔不等大。脑脊液黄变具有一定诊断意义。颈动脉血管造影是最具诊断价值的方法。骨成形开颅血肿清除术是首选治疗方法。