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虎皮外观:双侧慢性硬膜下血肿清除术后脑实质通过骨孔嵌入和脱垂:1例罕见病例报告

Tiger hide appearance: Impaction and prolapse of brain parenchyma through burr holes after evacuation of bilateral chronic subdural hematoma: A rare case report.

作者信息

Jaiswal Manish, Gandhi Ashok, Purohit Devendra, Mittal R S

机构信息

Department of Neurosurgery, SMS Medical College and Hospital, JLN Marg, Jaipur, Rajasthan, India.

出版信息

Asian J Neurosurg. 2016 Jul-Sep;11(3):321. doi: 10.4103/1793-5482.145094.

Abstract

Burr hole evacuation of chronic subdural hematoma (SDH) with or without drainage system is the most common surgical method among various techniques. There are various complications of burr hole drainage evacuation of chronic SDH, but there is no case report regarding impaction and prolapse of brain parenchyma through burr hole as a complication. Herewith, we are reporting a case of bilateral chronic SDH with prolapse of brain parenchyma through burr holes. Magnetic resonance imaging (MRI) of brain showed a characteristic look and we named it "Tiger hide appearance". We failed to find such characteristic appearance in MRI brain on reviewing the available literature.

摘要

在各种技术中,采用或不采用引流系统的慢性硬膜下血肿(SDH)钻孔引流术是最常见的手术方法。慢性SDH钻孔引流术存在多种并发症,但尚无关于脑实质通过钻孔撞击和脱垂作为并发症的病例报告。在此,我们报告一例双侧慢性SDH伴脑实质通过钻孔脱垂的病例。脑部磁共振成像(MRI)显示出一种特征性表现,我们将其命名为“虎皮外观”。在查阅现有文献时,我们未能在脑部MRI中发现这种特征性表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b58/4849326/d455b8b70036/AJNS-11-321b-g001.jpg

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