Pau A, Brambilla Bas M, Siccardi D, Cossu M
Neurological Department, Modena Medical School, Italy.
Acta Neurol (Napoli). 1990 Jun;12(3):237-41.
A case of chronic subdural hematoma associated with contralateral upper monoballism is reported. Intracranial midline shift and transtentorial herniation of the ipsilateral temporal lobe were the only demonstrated CT abnormalities. Complete neurological recovery followed the evacuation of the hematoma. Direct mechanical injury caused by the marked brain compression and distortion, and transient ischemic changes within cerebral areas whose damages may result in ballism, may be considered important causative factors of such an unusual neurological complication.
报告了一例与对侧上肢颤搐相关的慢性硬膜下血肿病例。CT显示的唯一异常是颅内中线移位和同侧颞叶经小脑幕疝。血肿清除后神经功能完全恢复。明显的脑压迫和变形导致的直接机械损伤，以及脑内可能导致颤搐的区域的短暂缺血变化，可能被认为是这种不寻常神经并发症的重要致病因素。
