隐匿性复发性自发性颅内硬膜外血肿：一例报告及文献综述
Cryptogenic recurrent spontaneous intracranial epidural hematoma: A case report and literature review.
作者信息
Xu Min, Xue Ya, Chao Xiaofeng, Chen Zhenglou, Wang Yunjiang, Huo Xuqi, Ji Xiang, Wang Hongshen
机构信息
Department of Neurosurgery, The Sixth Affiliated Hospital of Nantong University, Yancheng, Jiangsu, China.
Department of Neurosurgery, Yancheng Third People's Hospital, Yancheng, Jiangsu, China.
出版信息
Front Neurol. 2023 Mar 16;14:1123108. doi: 10.3389/fneur.2023.1123108. eCollection 2023.
BACKGROUND
Spontaneous epidural hematoma (EDH) has been suggested to be associated with adjacent infective pathologies, dural vascular malformations, extradural metastases, or coagulopathies. Cryptogenic spontaneous EDH is extremely rare.
CASE PRESENTATION
The present study reports the case of a cryptogenic spontaneous EDH in a young woman following sexual intercourse. She was diagnosed with consecutive EDH at three different sites within a short time. After three timely operations, a satisfactory outcome was achieved.
CONCLUSION
EDH should be investigated when a young patient develops headaches and shows signs of increased ICP after emotional hyperactivity or hyperventilation. If early diagnosis and surgical decompression can be carried out in time, the prognosis would be satisfactory.
背景
自发性硬膜外血肿（EDH）被认为与相邻的感染性病变、硬脑膜血管畸形、硬膜外转移瘤或凝血功能障碍有关。隐源性自发性EDH极为罕见。
病例报告
本研究报告了一名年轻女性在性交后发生隐源性自发性EDH的病例。她在短时间内被诊断出在三个不同部位连续发生EDH。经过三次及时手术，取得了满意的结果。
结论
当年轻患者在情绪激动或过度换气后出现头痛并表现出颅内压升高的迹象时，应进行EDH检查。如果能及时进行早期诊断和手术减压，预后将是令人满意的。
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