Kuniyoshi Yasutaka, Kamura Azusa, Yasuda Sumie
No To Hattatsu. 2014 Jan;46(1):30-3.
A ten-month-old male infant fell onto the floor from a chair of 50 cm in height and hit his head on the day before hospitalization. He was admitted due to acute subdural hematoma, which was associated with arachnoid cyst. Head CT conducted on the 4th day confirmed that the hematoma had not enlarged. After discharge, enlargement of the hematoma was detected on MR imaging conducted on the 65th day after injury, followed by the diminution without surgical treatment. MR images were obtained on the 192nd day. In the case of head injury associated with arachnoid cyst, the risk of subdural hematoma as well as its ensuing enlargement in subacute or chronic phase needs to be considered.
一名10个月大的男婴在住院前一天从50厘米高的椅子上掉到地上,头部着地。他因急性硬膜下血肿入院,该血肿与蛛网膜囊肿有关。伤后第4天进行的头部CT检查证实血肿没有增大。出院后,在伤后第65天进行的磁共振成像检查中发现血肿增大,随后未经手术治疗血肿缩小。在伤后第192天获得了磁共振图像。对于与蛛网膜囊肿相关的头部损伤,需要考虑硬膜下血肿的风险及其在亚急性或慢性期随后增大的风险。