Brennan Paul M, Fuller Eleanor, Shanmuganathan Mano, Keston Peter, Fouyas Ioannis
Deparment of Clinical Neurosciences, Western General Hospital, Edinburgh, Midlothian, UK.
BMJ Case Rep. 2011 Jul 27;2011:bcr0120113694. doi: 10.1136/bcr.01.2011.3694.
The authors present an unusual case of a healthy young male who developed a spontaneous subdural haematoma. Headache was followed by blurring of vision and left upper limb symptoms. The diagnosis was made from a CT scan. Symptoms resolved with surgical decompression. The authors explore the risk factors and pathophysiology implicated in this condition. The authors demonstrate that apparently 'healthy' pursuits can have significant consequences, but the physician must also exclude serious underlying risk factors for bleeding, which the authors discuss.
作者报告了一例健康年轻男性发生自发性硬膜下血肿的罕见病例。先是出现头痛，随后视力模糊和左上肢出现症状。通过CT扫描做出诊断。经手术减压后症状缓解。作者探讨了与该病症相关的危险因素和病理生理学。作者表明，看似“健康”的行为可能会产生重大后果，但医生也必须排除严重的潜在出血危险因素，作者对此进行了讨论。
