Deitch D, Kirshner H S
Department of Neurology, Vanderbilt University School of Medicine, Nashville, TN 37212.
Neurology. 1989 Jul;39(7):985-7. doi: 10.1212/wnl.39.7.985.
Two patients suffered minor head injuries diagnosed as cerebral concussions. Both had normal CTs in the emergency room but developed progressive neurologic symptoms weeks later. Both had large subdural hematomas requiring surgical drainage. Physicians should be alert for neurologic deterioration in patients with minor head injuries, even after normal CTs.
两名患者头部受轻伤,被诊断为脑震荡。两人在急诊室时CT检查均正常,但数周后出现进行性神经症状。两人均有巨大硬膜下血肿,需要手术引流。即使CT检查正常,医生也应对轻度头部受伤患者的神经功能恶化保持警惕。