D'Costa D F, Abbott R J
Department of Neurology, Leicester Royal Infirmary.
Br J Clin Pract. 1990 Dec;44(12):666-7.
We describe the case of a 59-year-old man who presented with headaches suggestive of raised intracranial pressure. He had a normal computerised tomographic (CT) scan on two occasions over a period of two months during which time he continued to deteriorate. Eventually, a magnetic resonance imaging (MRI) scan showed the presence of bilateral subdural haematomas. This case thus illustrates that normal CT scans may not exclude an intracranial pathology--and, if in doubt, an MRI scan should be sought.
我们描述了一名59岁男性的病例,他出现了提示颅内压升高的头痛症状。在两个月的时间里,他进行了两次计算机断层扫描(CT),结果均正常,但在此期间他的病情持续恶化。最终,磁共振成像(MRI)扫描显示存在双侧硬膜下血肿。该病例表明,正常的CT扫描可能无法排除颅内病变——如有疑问,应进行MRI扫描。