Alemdar Murat, Selekler Hamit Macit, Efendi Husnu
Department of Neurology, Faculty of Medicine, University of Kocaeli, Derince 41900, Kocaeli, Turkey.
J Headache Pain. 2005 Feb;6(1):48-50. doi: 10.1007/s10194-005-0149-2. Epub 2005 Jan 25.
Due to their localisations and symptoms, interhemispheric subdural haematomas (ISH) compose a distinct category. Altered level of consciousness and hemiparesis are the most frequent symptoms. We report a case of ISH who presented with headache as the sole complaint. Left cerebellar haematoma and ISH were found in cranial MRI and cranial computed tomography Cranial MR angiogram was normal. Haemogram and coagulation parameters were within normal limits. ISH should be considered among the diagnostic possibilities in elderly patients who present with headache as the sole symptom without other clinical features such as meningeal irritation signs, focal neurological symptoms and alteration of consciousness. Cranial imaging studies should be done in such cases.
由于其定位和症状，大脑半球间硬膜下血肿（ISH）构成一个独特的类别。意识水平改变和偏瘫是最常见的症状。我们报告一例以头痛为唯一主诉的ISH病例。头颅磁共振成像（MRI）和头颅计算机断层扫描（CT）发现左侧小脑血肿和ISH。头颅磁共振血管造影正常。血常规和凝血参数在正常范围内。对于以头痛为唯一症状且无其他临床特征（如脑膜刺激征、局灶性神经症状和意识改变）的老年患者，诊断时应考虑ISH。此类病例应进行头颅影像学检查。
