Burke Michael Philip, O'Donnell Chris, Opeskin Kenneth
Victorian Institute of Forensic Medicine, Southbank, Victoria, Australia.
Am J Forensic Med Pathol. 2010 Dec;31(4):382-4. doi: 10.1097/PAF.0b013e3181fc354b.
The overwhelming majority of cases of acute subdural hematoma in the forensic setting occur as a result of head trauma. We report a case of sudden unexpected death in a middle-aged woman with a history of arachnoid cyst who had sudden spontaneous onset of severe headache that was rapidly followed by collapse and death. A postmortem multiple-slice computed tomographic scan showed a large acute subdural hematoma associated with hemorrhage into an arachnoid cyst. Subdural hemorrhage is an uncommon but well-described complication of an arachnoid cyst.
在法医鉴定中，绝大多数急性硬膜下血肿病例是由头部外伤所致。我们报告一例中年女性意外猝死病例，该女性有蛛网膜囊肿病史，突发剧烈头痛，随后迅速出现意识丧失和死亡。尸检多层计算机断层扫描显示，一个大的急性硬膜下血肿与蛛网膜囊肿内出血有关。硬膜下出血是蛛网膜囊肿一种罕见但有详细描述的并发症。
