Agrawal Amit
Department of Neurosurgery, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, India.
J Surg Tech Case Rep. 2010 Jul;2(2):90-1. doi: 10.4103/2006-8808.73625.
Chronic subdural hematoma (CSDH) is one of the most common clinical entities encountered in daily neurosurgical practice. The advent of computed tomography (CT) has made a major impact on the radiological diagnosis of CSDH. Although unilateral chronic isodense subdural hematomas as a result of indirect signs of a space-occupying lesion are easily recognizable on CT, bilateral CSDH may cause considerable difficulty, particularly when it is biconvex in shape as discussed in the present case. A judicious use of magnetic resonance imaging will help in making the diagnosis and for the management of such lesions.
慢性硬膜下血肿(CSDH)是日常神经外科实践中最常见的临床病症之一。计算机断层扫描(CT)的出现对CSDH的放射学诊断产生了重大影响。尽管由于占位性病变的间接征象导致的单侧慢性等密度硬膜下血肿在CT上很容易识别,但双侧CSDH可能会造成相当大的困难,特别是当它呈双凸形时,如本病例所讨论的。合理使用磁共振成像将有助于做出诊断并管理此类病变。