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顶点硬膜外血肿:诊断难题

Vertex Extradural Hematoma: A Diagnostic Dilemma.

作者信息

Kumar Jayendra, Prakash Anand, Harsh Viraat, Kumar Anil

机构信息

Department of Neurosurgery, Narayan Medical College and Hospital, Sasaram, Bihar, India.

Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

出版信息

Asian J Neurosurg. 2017 Oct-Dec;12(4):718-720. doi: 10.4103/1793-5482.215758.

Abstract

Extradural hematomas (EDHs) of vertex are rarely seen and form a small percentage of all EDH. Usual cause of an EDH located at the vertex is tearing of the superior sagittal sinus. A 35-year-old male patient was admitted to our department, with history of fall and lucid interval. Imaging studies showed contusion in the right frontal region with midline shift and bilateral EDH located at vertex which was misinterpreted as artifact or subdural hematoma. We present this rare case and briefly review the literature regarding its etiopathology and associated clinico-radiological findings. The principles of management of this rare entity are also discussed.

摘要

顶叶硬膜外血肿(EDH)很少见,在所有硬膜外血肿中占比小。位于顶叶的硬膜外血肿的常见病因是上矢状窦撕裂。一名35岁男性患者因跌倒史和清醒期入院。影像学检查显示右额叶挫伤伴中线移位,双侧硬膜外血肿位于顶叶,最初被误诊为伪影或硬膜下血肿。我们报告这一罕见病例,并简要回顾其病因病理及相关临床影像学表现的文献。同时也讨论了这种罕见疾病的治疗原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de39/5652104/ed816793c44f/AJNS-12-718-g001.jpg

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