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感染性动脉炎表现为急性硬脑膜下血肿。

Infective Arteritis Manifesting as an Acute Subdural Hematoma.

机构信息

Division of Cardiovascular Medicine, Nerima-Hikarigaoka Hospital, Japan.

Division of Neurosurgery, Nerima-Hikarigaoka Hospital, Japan.

出版信息

Intern Med. 2023 Apr 15;62(8):1175-1179. doi: 10.2169/internalmedicine.0320-22. Epub 2022 Sep 6.

DOI:10.2169/internalmedicine.0320-22
PMID:36070949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10183287/
Abstract

We encountered a 60-year-old man who had been diagnosed with heart failure of valvular disease and infective endocarditis; he was being treated with intravenous antibiotics and diuretics. On the 12th hospital day, he suddenly lost consciousness; computed tomography showed a right-sided huge subdural hematoma (SDH) with brain herniation. He died after invasive care was discontinued. A massive SDH was noted at autopsy, and microimaging demonstrated ruptured infective arteritis, without aneurysm, on the surface of the culprit lobe. Acute SDH usually occurs after head trauma, but an area of nonsaccular aneurysmal arteritis can also result in acute SDH.

摘要

我们遇到一位 60 岁男性，诊断为瓣膜病性心力衰竭和感染性心内膜炎；他正在接受静脉内抗生素和利尿剂治疗。在住院第 12 天，他突然意识丧失；计算机断层扫描显示右侧巨大硬脑膜下血肿（SDH）伴脑疝。停止侵入性治疗后，他死亡。尸检时发现大量 SDH，微观成像显示在罪犯叶表面有破裂的感染性动脉炎，无动脉瘤。急性 SDH 通常发生在头部外伤后，但非囊状动脉瘤性动脉炎也可导致急性 SDH。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/9e6607b7668f/1349-7235-62-1175-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/d0daf236d180/1349-7235-62-1175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/5601ce46198b/1349-7235-62-1175-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/bca5ea1ac663/1349-7235-62-1175-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/9e6607b7668f/1349-7235-62-1175-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/d0daf236d180/1349-7235-62-1175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/5601ce46198b/1349-7235-62-1175-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/bca5ea1ac663/1349-7235-62-1175-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b73/10183287/9e6607b7668f/1349-7235-62-1175-g004.jpg

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