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[两周间隔后发生致命性硬膜外出血]

[Fatal epidural hemorrhage after a 2-week interval].

作者信息

Bratzke H, Dirnhofer R

出版信息

Neurochirurgia (Stuttg). 1986 May;29(3):93-5. doi: 10.1055/s-2008-1053710.

DOI:10.1055/s-2008-1053710
PMID:3724940
Abstract

This in a report on a 15-year old school girl who sustained a skull fracture after a fall. Apart from an initial syncope and signs of commotio cerebri no severe cerebral deficiencies were apparent. She died suddenly soon after her discharge and 2 weeks after the accident. The officially confirmed cause of death (based on autopsy by order of a court) was an epidural hemorrhage. This hemorrhage originated from a reruptured traumatic pseudoaneurysma of the arteria meningea media. The morphological findings are presented. The legal problems are discussed especially in the light of recently re-introduced conservative treatment of epidural hemorrhage diagnosed by computed tomography.

摘要

这是一份关于一名15岁女学生的报告,她在摔倒后颅骨骨折。除了最初的晕厥和脑震荡迹象外,没有明显的严重脑损伤。她在出院后不久,也就是事故发生两周后突然死亡。官方确认的死因(根据法院命令进行的尸检)是硬膜外出血。这种出血源于中脑膜动脉外伤性假性动脉瘤的再次破裂。文中呈现了形态学检查结果。特别结合最近重新采用的通过计算机断层扫描诊断硬膜外出血的保守治疗方法,讨论了相关法律问题。

相似文献

1
[Fatal epidural hemorrhage after a 2-week interval].[两周间隔后发生致命性硬膜外出血]
Neurochirurgia (Stuttg). 1986 May;29(3):93-5. doi: 10.1055/s-2008-1053710.
2
[Differential diagnosis of traumatic skull findings in infants: residues after vacuum extraction].[婴儿创伤性颅骨表现的鉴别诊断:真空吸引术后残留物]
Arch Kriminol. 2005 Mar-Apr;215(3-4):70-6.
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[Posttraumatic pseudoaneurysm of the middle meningeal artery: a case report].[创伤后脑膜中动脉假性动脉瘤:一例报告]
No Shinkei Geka. 1995 Nov;23(11):1021-5.
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[Acute epidural hematoma caused by contrecoup injury].对冲伤所致急性硬膜外血肿
No To Shinkei. 2000 Sep;52(9):833-6.
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Unexpected death following single blow to the orbit.眼眶单次受击后意外死亡。
Am J Forensic Med Pathol. 2010 Dec;31(4):370-2. doi: 10.1097/PAF.0b013e3181d3dbd7.
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Subdural haematoma associated with traumatic middle meningeal artery pseudoaneurysm.与外伤性脑膜中动脉假性动脉瘤相关的硬膜下血肿
Zentralbl Neurochir. 1982;43(4):323-8.
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[Delayed epidural bleeding caused by traumatic pseudoaneurysm of the middle meningeal artery: case report].[外伤性脑膜中动脉假性动脉瘤致迟发性硬膜外出血:病例报告]
No Shinkei Geka. 2004 Nov;32(11):1139-43.
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Posttraumatic cerebrospinal fluid cyst of the orbit.创伤后眼眶脑脊液囊肿
J Craniofac Surg. 2006 Jan;17(1):189-91. doi: 10.1097/01.scs.0000188745.14346.4a.
9
Spontaneous slow drainage of epidural hematoma into the subgaleal space through a skull fracture in an infant--case report.婴儿硬膜外血肿经颅骨骨折自发缓慢引流至帽状腱膜下间隙——病例报告
Neurol Med Chir (Tokyo). 2011;51(12):854-6. doi: 10.2176/nmc.51.854.
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[Epidural hematoma with atypical clinical course].[具有非典型临床病程的硬膜外血肿]
Unfallchirurg. 1993 Dec;96(12):632-5.

引用本文的文献

1
Traumatic middle meningeal artery pseudoaneurysms: diagnosis and endovascular treatment of two cases and review of the literature.创伤性硬脑膜中动脉假性动脉瘤:两例病例的诊断和血管内治疗及文献复习。
Neuroradiology. 2012 Oct;54(10):1133-6. doi: 10.1007/s00234-011-1003-7. Epub 2012 Jan 6.