头部未受撞击却致伤？青少年滑板者罕见的蛛网膜囊肿伴硬脑膜下血肿病例报告。
Head Injury without Head Blow? A Rare Case of Subdural Hematoma Associated with Minute Arachnoid Cyst in a Teenage Skater.
机构信息
Department of Neurosurgery, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany.
Instutute of Neuropathology, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany.
出版信息
J Neurol Surg A Cent Eur Neurosurg. 2021 Nov;82(6):604-610. doi: 10.1055/s-0040-1721021. Epub 2021 Feb 4.
BACKGROUND
Skateboarding has been reported to cause diverse kinds of injuries, including head trauma. However, the risk of brain injury without direct blow to the head seems to be underestimated. In particular, the impact of the inertial forces related to the vigorous character of skateboarding tricks is not sufficiently recognized.
CASE DESCRIPTION
In our report, we demonstrate a case of chronic subdural hematoma developing without previous blow to the head in a 17-year-old skater bearing small frontal convexity arachnoid cyst.
CONCLUSION
Based on the described case, the possibility of acceleration and angular forces related to skate park leisure activities resulting in subdural hematoma needs to be discussed. This risk should be critically appraised in patients carrying arachnoid cyst as a malformation predisposing to develop subdural bleeding.
背景
据报道，滑板运动可导致多种损伤，包括头部创伤。然而，似乎低估了没有直接头部撞击而导致脑损伤的风险。特别是，与滑板技巧剧烈特征相关的惯性力的影响尚未得到充分认识。
病例描述
在我们的报告中，我们展示了一例 17 岁滑板运动员的慢性硬膜下血肿病例，该患者无先前头部撞击，且头部存在小的额部凸面蛛网膜囊肿。
结论
基于所描述的病例，需要讨论与滑板公园休闲活动相关的加速和角力可能导致硬膜下血肿。对于存在蛛网膜囊肿这种易发生硬膜下出血畸形的患者，应认真评估这种风险。
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