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巨大黑色脑区:伴有半球肿胀和低密度影的硬膜下出血

The Big Black Brain: Subdural Hemorrhage with Hemispheric Swelling and Low Attenuation.

作者信息

Luyet Francois M, Feldman Kenneth W, Knox Barbara L

机构信息

1Department of Pediatrics, University of Wisconsin American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, Madison, WI 53792-4108 USA.

2Department of Pediatrics, University of Washington School of Medicine, Seattle, WA USA.

出版信息

J Child Adolesc Trauma. 2017 Feb 14;11(2):241-247. doi: 10.1007/s40653-017-0132-5. eCollection 2018 Jun.

Abstract

The term "Big Black Brain" was first coined in 1993 to describe cases of abusive head trauma associated with subdural hematoma(s), brain swelling, and uni- or bilateral hypo-density involving the entire supratentorial compartment on CT scan imaging. This constellation of findings was invariably followed by extensive cerebral parenchymal destruction and a dismal neurological outcome or death. We describe two such cases and review the pathophysiology and differential diagnosis of this entity.

摘要

“大黑脑”一词于1993年首次被创造出来,用于描述与硬膜下血肿、脑肿胀以及CT扫描成像显示整个幕上腔出现单侧或双侧低密度影相关的虐待性头部创伤病例。这一系列的表现总是会导致广泛的脑实质破坏以及令人沮丧的神经学预后或死亡。我们描述了两例这样的病例,并回顾了该病症的病理生理学和鉴别诊断。

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本文引用的文献

1
The Controversial Second Impact Syndrome: A Review of the Literature.有争议的二次撞击综合征:文献综述
Pediatr Neurol. 2016 Sep;62:9-17. doi: 10.1016/j.pediatrneurol.2016.03.009. Epub 2016 Apr 13.
4
Hypothermia for neuroprotection in children after cardiopulmonary arrest.低温用于儿童心肺复苏后神经保护
Cochrane Database Syst Rev. 2013 Feb 28;2013(2):CD009442. doi: 10.1002/14651858.CD009442.pub2.

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