Prabhu Santosh, Agarwal Sidharth, Prabhu Sujata
Department of Neurosurgery, Western India Institute of Neurosciences, Kolhapur, Maharashtra, India.
Department of Neuroanesthesia, Western India Institute of Neurosciences, Kolhapur, Maharashtra, India.
Asian J Neurosurg. 2019 Nov 25;14(4):1288-1290. doi: 10.4103/ajns.AJNS_143_19. eCollection 2019 Oct-Dec.
Spontaneous extradural hematoma is a well-documented but fairly rare condition, which can be associated with conditions such as vascular malformations, sickle cell disease, metastasis to the skull, infectious diseases of the skull, coagulation disorders, and use of anticoagulants. Of these, very few cases are of life-threatening extradural hematomas in adults, where hypofibrinogenemia is the cause of bleed, without any history of trauma. In this report, we have discussed the management of such a patient.
自发性硬膜外血肿是一种有充分文献记载但相当罕见的病症，它可能与血管畸形、镰状细胞病、颅骨转移瘤、颅骨传染病、凝血障碍以及使用抗凝剂等情况相关。其中，成人因低纤维蛋白原血症导致出血且无任何创伤史的危及生命的硬膜外血肿病例非常少见。在本报告中，我们讨论了此类患者的治疗方法。
