一名3岁儿童创伤性静脉性硬膜外血肿的快速消退：病例说明
Rapid resolution of a traumatic venous epidural hematoma in a 3-year-old child: illustrative case.
作者信息
Wilhelmy Florian, Wende Tim, Kasper Johannes, Ablefoni Maxime, Bode Lena Marie, Meixensberger Jürgen, Nestler Ulf
机构信息
Departments of Neurosurgery.
Pediatric Radiology, and.
出版信息
J Neurosurg Case Lessons. 2021 Nov 22;2(21):CASE21413. doi: 10.3171/CASE21413.
BACKGROUND
Posterior fossa epidural hematoma rarely occurs in children after traumatic head injury. There is ongoing discussion about appropriate treatment, yet the radiological features regarding the time to resorption of the hematoma or required follow-up imaging are rarely discussed.
OBSERVATIONS
The authors presented the case of a 3-year-old child who was under clinical observation and receiving analgetic and antiemetic treatment in whom near-complete hematoma resorption was shown by magnetic resonance imaging as soon as 60 hours after diagnosis. The child was neurologically stable at all times and showed no deficit after observational treatment. Hematoma resorption was much faster than expected. The authors discussed hematoma drainage via the sigmoid sinus.
LESSONS
Epidural hematomas in children can be treated conservatively and are resorbed in a timely manner.
背景
创伤性脑损伤后儿童很少发生后颅窝硬膜外血肿。对于合适的治疗方法仍在进行讨论，但关于血肿吸收时间或所需的后续影像学检查的放射学特征很少被讨论。
观察结果
作者报告了一名3岁儿童的病例，该儿童在临床观察并接受镇痛和止吐治疗，诊断后60小时磁共振成像显示血肿几乎完全吸收。该儿童在整个过程中神经功能稳定，观察治疗后未出现神经功能缺损。血肿吸收比预期快得多。作者讨论了通过乙状窦进行血肿引流。
经验教训
儿童硬膜外血肿可以保守治疗并及时吸收。
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