慢性硬膜外血肿伴额骨基底破坏，酷似成骨性肿瘤，与丙型肝炎所致凝血障碍相关。
Chronic epidural hematoma with frontal skull-base destruction mimicking osteogenic tumor, associated with coagulopathy due to chronic hepatitis C.
作者信息
Nakazato Ichiro, Tanaka Hideki, Oyama Kenichi, Onoda Keisuke, Matsuno Akira
机构信息
Department of Neurosurgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan.
Department of Neurosurgery, Mejiro 2 Hospital, Tokyo, Japan.
出版信息
Surg Neurol Int. 2023 Feb 17;14:58. doi: 10.25259/SNI_956_2022. eCollection 2023.
BACKGROUND
Intracranial epidural hematoma is generally evoked by acute coup-injury. Though rare, it has a chronic clinical course and can be a non-traumatic event.
CASE DESCRIPTION
The patient was A thirty-five-year-old man with a complaint of one-year history of hand tremor. He was suspected diagnosis of osteogenic tumor with differential diagnosis of epidural tumor, or abscess in the right frontal skull base bone, associated with chronic type C hepatitis because of his plain CT and MRI.
RESULTS
Results of examinations and surgery, the extradural mass was chronic epidural hematoma without skull fracture. We diagnosis he is the rare case of chronic epidural hematoma caused by coagulopathy due to chronic hepatitis C.
CONCLUSION
We reported a rare case of chronic epidural hematoma caused by coagulopathy due to chronic hepatitis C. The repeated spontaneous hemorrhage in the epidural space formed the capsule and destruction of skull base bone, just mimicking skull base tumor.
背景
颅内硬膜外血肿通常由急性冲击伤引起。虽然罕见，但它具有慢性临床病程，且可能是非创伤性事件。
病例描述
患者为一名35岁男性，主诉有一年手部震颤病史。因其平扫CT和MRI检查结果，怀疑诊断为成骨性肿瘤，鉴别诊断为硬膜外肿瘤，或右额颅底骨脓肿，并伴有慢性丙型肝炎。
结果
检查和手术结果显示，硬膜外肿块为慢性硬膜外血肿，无颅骨骨折。我们诊断他是由慢性丙型肝炎导致的凝血功能障碍引起的罕见慢性硬膜外血肿病例。
结论
我们报告了一例由慢性丙型肝炎导致的凝血功能障碍引起的罕见慢性硬膜外血肿病例。硬膜外间隙反复自发性出血形成包膜并破坏颅底骨，酷似颅底肿瘤。
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