Lee Byung Hoon, Hwang Yoon Joon, Choi Chan-Young
Department of Radiology, Ilsan Paik Hospital, Inje University School of Medicine, Goyang, Korea.
J Neuroimaging. 2014 Sep-Oct;24(5):531-2. doi: 10.1111/jon.12060. Epub 2013 Nov 19.
We report serial computed tomography (CT) findings in a rare case of a rapidly calcified epidural hematoma. A 21-year-old female patient was admitted to our hospital after being involved in a motor vehicle accident. An initial cranial CT revealed a right frontal bone fracture. She complained of right frontal headache, but showed no neurological deficit or tendency for bleeding. Therefore, she was treated conservatively without surgical intervention. Follow-up CT revealed an ossified epidural hematoma (EDH) 17 days after the head injury, and the ossification later thickened. However, a decrease in the width of the EDH was observed during the 9 months of follow-up during which serial CT images were acquired. The EDH resolved 9 months after the initial trauma, but the calcification layer remained thickened.
我们报告了一例罕见的快速钙化硬膜外血肿的系列计算机断层扫描(CT)结果。一名21岁女性患者在机动车事故后被送往我院。最初的头颅CT显示右额骨骨折。她主诉右额部头痛,但未出现神经功能缺损或出血倾向。因此,她接受了保守治疗,未进行手术干预。随访CT显示伤后17天硬膜外血肿(EDH)出现骨化,随后骨化增厚。然而,在随访的9个月期间,获取系列CT图像时观察到EDH宽度减小。最初受伤9个月后EDH消失,但钙化层仍增厚。