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慢性硬膜下血肿与常染色体显性多囊肾病:两例新病例报告

Chronic subdural haematoma and autosomal polycystic kidney disease: report of two new cases.

作者信息

Abderrahim Ezzedine, Hedri Hafedh, Lâabidi Jannette, Raies Lamia, Kheder Adel, Abdallah Taieb Ben, Moussa Fatma Ben, Maïz Hédi Ben

机构信息

Department of Nephrology and Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.

出版信息

Nephrology (Carlton). 2004 Oct;9(5):331-3. doi: 10.1111/j.1440-1797.2004.00270.x.

Abstract

Chronic subdural haematoma (SDH) was recently described in some patients who were suffering from autosomic dominant polycystic kidney disease (ADPKD). It results in various neurological symptoms mimicking those related to intracranial aneurysms, which are relatively frequent in such patients. The authors report two cases of chronic SDH observed in two patients known to have advanced renal failure attributed to ADPKD. Medical imaging failed to reveal features of associated intracranial abnormalities such as aneurysms or arachnoid cysts. Surgical drainage resulted in a good recovery without relapse during a long period of follow up that exceeded 10 years in the first case.

摘要

慢性硬膜下血肿(SDH)最近在一些患有常染色体显性多囊肾病(ADPKD)的患者中被描述。它会导致各种类似于颅内动脉瘤相关症状的神经症状,而颅内动脉瘤在这类患者中相对常见。作者报告了两例慢性SDH病例,这两名患者已知患有因ADPKD导致的晚期肾衰竭。医学影像未能显示出相关颅内异常的特征,如动脉瘤或蛛网膜囊肿。手术引流后恢复良好,在第一例患者超过10年的长期随访中未复发。

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