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钝性头部损伤后巨大创伤性胼胝体血肿的非手术治疗:一例报告

Non-surgical treatment of massive traumatic corpus callosum hematoma after blunt head injury: A case report.

作者信息

Elsayed A, Elgamal E, Elsayed A A, Wasserberg J, Kuncz A

机构信息

Neurosurgery Division, Department of Surgery, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates; Neurosurgery Department, Cairo University, Cairo, Egypt.

Neurosurgery Division, Department of Surgery, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates; Neurosurgery Department, Cairo University, Cairo, Egypt.

出版信息

Neurol Neurochir Pol. 2016 Jul-Aug;50(4):309-12. doi: 10.1016/j.pjnns.2016.04.005. Epub 2016 Apr 27.

Abstract

Massive hematoma of the corpus callosum caused by blunt head trauma is an extremely rare lesion. Most frequent traumatic lesions involve the corpus callosum are diffuse axonal injuries. They might be associated with small hemorrhagic foci in the hemispheric and brain stem white matter, intraventricular hemorrhages, subarachnoid hemorrhages, traumatic lesions of the septum pellucidum and fornix. Many cases of corpus callosum injury present with permanent disconnection syndrome. We present a case of a 32-year-old female suffered blunt head trauma resulted in massive corpus callosum hematoma which was managed non-surgically. The patient initially had a reduced conscious level and symptoms of disconnection syndrome, and significant recovery was observed at 6 months follow up.

摘要

钝性头部外伤导致的胼胝体巨大血肿是一种极其罕见的病变。最常见的累及胼胝体的创伤性病变是弥漫性轴索损伤。它们可能与半球和脑干白质中的小出血灶、脑室内出血、蛛网膜下腔出血、透明隔和穹窿的创伤性病变有关。许多胼胝体损伤病例表现为永久性分离综合征。我们报告一例32岁女性,因钝性头部外伤导致胼胝体巨大血肿,采用非手术治疗。患者最初意识水平降低并有分离综合征症状,在6个月随访时观察到明显恢复。

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