Tseng Peggy, Kearl Yvette Liza, Ansari Ashkon
From the Department of Emergency Medicine, Los Angeles County-University of Southern California, Los Angeles, CA.
Pediatr Emerg Care. 2019 Apr;35(4):e76-e78. doi: 10.1097/PEC.0000000000001802.
Of the multitude of neurologic injuries related to roller-coaster rides, a majority of them are reported about adults. In this case, we present a patient who presented to the pediatric emergency department with new-onset seizure and hemiplegia 2 days after a roller-coaster ride. She was ultimately diagnosed with a subdural hematoma. The acceleration and G forces of roller coasters are hypothesized to cause enough stress and shearing forces that are thought to directly cause subdural hemorrhage.Advances in roller-coaster technology may surpass the passenger's physical capacity for acceleration and rotary forces, and we may see an increased number of medical complications after these rides. We recommend that emergency and pediatric health care providers consider amusement park thrill rides as a possible cause of subdural hematomas in previously healthy patients with new neurologic complaints.
在与过山车乘坐相关的众多神经损伤中，大多数报告的是成人病例。在此，我们介绍一名患者，她在乘坐过山车两天后出现新发癫痫和偏瘫，并前往儿科急诊科就诊。她最终被诊断为硬膜下血肿。据推测，过山车的加速度和重力会产生足够的压力和剪切力，直接导致硬膜下出血。过山车技术的进步可能会超出乘客对加速度和旋转力的身体承受能力，我们可能会看到乘坐这些过山车后出现的医疗并发症数量增加。我们建议急诊和儿科医疗保健提供者，对于既往健康但出现新的神经系统症状的患者，应考虑游乐园刺激游乐设施可能是硬膜下血肿的一个病因。
