Olivero William C, Wang Huan, Farahvar Arash, Kim Thomas A, Wang Fei
Department of Neurosurgery, Carle Foundation Hospital, University of Illinois College of Medicine at Urbana-Champaign, Urbana, IL 61801, USA.
Department of Neurosurgery, Carle Foundation Hospital, University of Illinois College of Medicine at Urbana-Champaign, Urbana, IL 61801, USA.
J Clin Neurosci. 2017 Aug;42:129-133. doi: 10.1016/j.jocn.2017.03.005. Epub 2017 Mar 22.
With the aging population, the incidence of chronic subdural hematoma (CSDH) is expected to rise. Once symptomatic the morbidity from CSDH is not insignificant. We studied patients who had a minor head injury and CT brain scan prior to developing CSDH to determine if there were any predictors on these scans for subsequent development of a CSDH. A retrospective review was performed on all patients operated for CSDH over a 3-year period and a review performed on those who had imaging studies at the time of a preceding minor head injury. Seven of 37 patients had CT scans prior to developing CSDH. All had evidence of small increases in CSF intensity on the side or sides of the subsequent CSDH. In conclusion, in those patients with a history of minor head injury prior to developing a CSDH, CT brain demonstrated small increases in cerebral spinal fluid (CSF) intensity on the side or sides of the subsequent CSDH. Recognizing this finding may be helpful in monitoring these patients or initiating medical therapy.
随着人口老龄化，慢性硬膜下血肿（CSDH）的发病率预计将会上升。一旦出现症状，CSDH所导致的发病率不容小觑。我们对那些在发生CSDH之前有轻度头部损伤且进行过脑部CT扫描的患者进行了研究，以确定这些扫描结果中是否存在任何可预测随后发生CSDH的因素。对在3年期间内所有接受CSDH手术的患者进行了回顾性研究，并对那些在之前轻度头部损伤时进行过影像学检查的患者进行了复查。37例患者中有7例在发生CSDH之前进行了CT扫描。所有患者在随后发生CSDH的一侧或双侧均有脑脊液密度轻度增加的迹象。总之，在那些发生CSDH之前有轻度头部损伤病史的患者中，脑部CT显示在随后发生CSDH的一侧或双侧脑脊液密度有轻度增加。认识到这一发现可能有助于对这些患者进行监测或启动药物治疗。
