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一名患有未经治疗的先天性脑积水患者出现巨大异形慢性硬膜下血肿。

Giant unusual shaped chronic subdural hematoma in a patient with untreated congenital hydrocephalus.

作者信息

Mishra Arvind, Ojha Bal K, Chandra Anil, Srivastava Chhitij, Singh Sunil Kumar

机构信息

Department of Neurosurgery, Chhatrapati Sahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Asian J Neurosurg. 2011 Jul;6(2):121-2. doi: 10.4103/1793-5482.92183.

DOI:10.4103/1793-5482.92183
PMID:22347339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3277068/
Abstract

Subdural hematoma is a well known complication of ventriculoperitoneal shunt insertion for hydrocephalus and usually spreads out over the cerebral convexity, and appears as a crescent shaped lesion on imaging. Chronic subdural hematoma in a case of untreated compensated congenital hydrocephalus has not been reported in English literature. We report the rare case of an adult with congenital hydrocephalus with a huge unusual shaped hemispheric subdural hematoma.

摘要

硬膜下血肿是脑积水脑室腹腔分流术一种众所周知的并发症，通常扩散至脑凸面，在影像学上表现为新月形病变。英文文献中尚未报道过未经治疗的代偿性先天性脑积水病例出现慢性硬膜下血肿的情况。我们报告了一例罕见的成年先天性脑积水患者，其患有巨大的异常形状的半球硬膜下血肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/c0d951687726/AJNS-6-121-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/2f026a487de1/AJNS-6-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/dac013f03ecf/AJNS-6-121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/01cde59c3802/AJNS-6-121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/c0d951687726/AJNS-6-121-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/2f026a487de1/AJNS-6-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/dac013f03ecf/AJNS-6-121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/01cde59c3802/AJNS-6-121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2b/3277068/c0d951687726/AJNS-6-121-g004.jpg

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2
Chronic subdural hematoma.慢性硬膜下血肿
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本文引用的文献

1
Globular subdural hematoma in a shunt-treated infant: case report.分流治疗婴儿的球形硬膜下血肿：病例报告
J Neurosurg Pediatr. 2010 Feb;5(2):210-2. doi: 10.3171/2009.9.PEDS09391.
2
Giant calcified chronic subdural haematoma: a long term complication of shunted hydrocephalus.巨大钙化慢性硬膜下血肿：分流性脑积水的一种长期并发症。
J Neurol Neurosurg Psychiatry. 2005 Mar;76(3):367. doi: 10.1136/jnnp.2004.043174.
3
Huge chronic subdural hematoma mimicking cerebral infarction on computed tomography--case report.计算机断层扫描显示巨大慢性硬膜下血肿酷似脑梗死——病例报告
Neurol Med Chir (Tokyo). 2002 Sep;42(9):380-2. doi: 10.2176/nmc.42.380.