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慢性硬膜下血肿钻孔引流术后对侧急性硬膜间血肿

Contralateral acute interdural haematoma occurring after burr hole drainage of chronic subdural haematoma.

作者信息

Eom Ki Seong, Kim Tae Young, Park Jong Tae

机构信息

Department of Neurosurgery, Wonkwang University college of Medicine, Iksan, Korea.

出版信息

Br J Neurosurg. 2009 Apr;23(2):213-5. doi: 10.1080/02688690802429202.

Abstract

We report the case of a 78-year-old man with chronic subdural haematoma (CSDH) who presented with impairment in recent memory and gait disturbance. He underwent burr-hole craniostomy with a closed-drainage system. A computed tomography scan conducted on postoperative day 3 demonstrated an acute epidural haematoma over the contralateral frontoparietal convexity. Craniotomy and haematoma evacuation were immediately performed. The haematoma was located between the outer and inner dura mater that each comprise a single layer. To our knowledge, this is the first reported case of an acute haematoma located between the separated dura mater that occurred following drainage of a contralateral CSDH, and it is the second reported case of interdural haematoma over the cerebral convexity.

摘要

我们报告了一例78岁患有慢性硬膜下血肿(CSDH)的男性病例,该患者出现近期记忆力减退和步态障碍。他接受了带有闭式引流系统的钻孔开颅术。术后第3天进行的计算机断层扫描显示对侧额顶叶凸面有急性硬膜外血肿。立即进行了开颅手术和血肿清除术。血肿位于分别由单层组成的硬脑膜外层和内层之间。据我们所知,这是首例报道的对侧CSDH引流后发生在分离硬脑膜之间的急性血肿病例,也是第二例报道的脑凸面硬膜间血肿病例。

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