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颅骨和脊髓硬膜下血肿并存:病例报告

Coexistence of cranial and spinal subdural hematomas: case report.

作者信息

Hagihara Naoshi, Abe Toshi, Kojima Kazuyuki, Watanabe Mitsuo, Tabuchi Kazuo

机构信息

Department of Neurosurgery, Koyanagi Memorial Hospital, Saga, Japan.

出版信息

Neurol Med Chir (Tokyo). 2010;50(4):333-5. doi: 10.2176/nmc.50.333.

Abstract

A 47-year-old man presented with chronic cranial subdural hematomas (SDHs) associated with spinal SDH manifesting as onset of severe lumbago revealed in the follow up for bilateral subdural effusions after trauma. Left chronic cranial SDH was first identified. Two months after evacuation of the left chronic cranial SDH, he complained of severe lumbago. Magnetic resonance imaging detected spinal SDH, prior to the diagnosis and treatment of right chronic cranial SDH. The present case of concomitant occurrence of cranial and spinal SDHs suggests that the possibility of spinal SDH should be investigated with magnetic resonance imaging in patients with chronic cranial SDH.

摘要

一名47岁男性因慢性颅骨硬膜下血肿(SDH)就诊,其伴有脊髓SDH,表现为在创伤后双侧硬膜下积液随访中出现严重腰痛。首先发现左侧慢性颅骨SDH。在左侧慢性颅骨SDH引流术后两个月,他抱怨严重腰痛。在诊断和治疗右侧慢性颅骨SDH之前,磁共振成像检测到脊髓SDH。本病例中颅骨和脊髓SDH同时发生提示,对于慢性颅骨SDH患者,应通过磁共振成像检查脊髓SDH的可能性。

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