Cher L M, White O B
Department of Neurology, Heidelberg Repatriation Hospital, Vic.
Med J Aust. 1992 May 4;156(9):654-5. doi: 10.5694/j.1326-5377.1992.tb121466.x.
To stress that transient neurological deficits do not always imply transient cerebral ischaemia, and may be produced by subdural haematoma.
An 80-year-old man was seen for intermittent gait disturbance, with normal findings on initial examination. He was then admitted after the onset of a fixed neurological deficit which worsened. Subdural haematoma was diagnosed by computed tomography (CT). An 80-year-old woman was seen after she had experienced left hemisphere transient neurological deficits. A CT scan showed a left-sided subdural haematoma.
Both patients underwent successful surgery with complete resolution of their symptoms and signs.
Subdural haematoma is relatively common and must be considered in those with unexplained transient neurological deficits. Magnetic resonance imaging or CT are the diagnostic procedures of choice. Antiplatelet or anticoagulant therapy must not be instituted until subdural haematoma is excluded.
强调短暂性神经功能缺损并不总是意味着短暂性脑缺血，也可能由硬膜下血肿引起。
一名80岁男性因间歇性步态障碍前来就诊，初次检查结果正常。随后，在出现固定性神经功能缺损且病情恶化后入院。通过计算机断层扫描（CT）诊断为硬膜下血肿。一名80岁女性在经历左半球短暂性神经功能缺损后前来就诊。CT扫描显示左侧硬膜下血肿。
两名患者均接受了成功的手术，症状和体征完全消失。
硬膜下血肿相对常见，对于不明原因的短暂性神经功能缺损患者必须考虑到这种情况。磁共振成像或CT是首选的诊断方法。在排除硬膜下血肿之前，不得进行抗血小板或抗凝治疗。
