Yama Naoya, Kano Hitoshi, Nara Satoshi, Kurimoto Yoshihiko, Narimatsu Eichi, Koito Kazumitsu, Asai Yasufumi, Hareyama Masato
Department of Radiology, Sapporo Medical University, School of Medicine, Japan.
J Trauma. 2007 Apr;62(4):898-901. doi: 10.1097/01.ta.0000221058.72995.c9.
Clivus epidural hematoma (CEH) is reported to be extremely rare. However, we consider that CEH may not be as rare as commonly thought, and that it may often go unrecognized because of diagnostic problems. The aim of this study was to evaluate the value of multidetector row computed tomography (MDCT) in the diagnosis of CEH.
Twenty-seven children aged less than 16 years who had experienced traffic crashes or falls were retrospectively evaluated with MDCT including sagittal reconstruction of the cervical spine.
Sagittal reconstructed images showed definitive findings of CEH in 3 (13%) of the 24 traffic-crash patients.
MDCT can show definitive findings of CEH, and diagnostic problems can be solved through the utilization of MDCT. We consider that CEH may be more common than previously thought.
据报道，斜坡硬膜外血肿（CEH）极为罕见。然而，我们认为CEH可能并不像通常认为的那样罕见，而且由于诊断问题，它可能常常未被识别。本研究的目的是评估多排螺旋计算机断层扫描（MDCT）在CEH诊断中的价值。
对27名16岁以下经历过交通事故或跌倒的儿童进行回顾性MDCT评估，包括颈椎矢状面重建。
矢状面重建图像显示，24例交通事故患者中有3例（13%）有明确的CEH表现。
MDCT可以显示CEH的明确表现，通过使用MDCT可以解决诊断问题。我们认为CEH可能比以前认为的更常见。
