老年患者双侧对称性硬膜外血肿：一例报告
Bilateral symmetrical extradural hematoma in an older person: A case report.
作者信息
Haouas Mohammed Yassine, Lahlou Salma, Amry Chaimaa, Jehri Abdelhamid, Ibahioin Khadija, Lakhdar Abdelhakim
机构信息
Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medecine, HASSAN II University, Casablanca, Morocco.
Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco.
出版信息
Int J Surg Case Rep. 2023 Dec;113:109020. doi: 10.1016/j.ijscr.2023.109020. Epub 2023 Nov 11.
INTRODUCTION AND IMPORTANCE
The occurrence of bilateral extradural hematomas (EDH) is a rare consequence of craniocerebral trauma, and acute symmetrical bilateral epidural hematomas are extremely rare even more so in elderly subjects.
PRESENTATION OF THE CASE
We report the case of an 82-year-old patient who had fallen down a flight of stairs. Scalp examination was consistent with a bi-parietal subgaleal hematoma. Clinically, he was confused with a glascow score of 13/15. His brain scan showed bilateral and symmetrical parietal EDH with simple fractures of both parietal bones. The patient underwent a two-stage evacuation of the extra-dural hematomas.
CLINICAL DISCUSSION
The management of bilateral EDH cases requires careful planning, adequate exposure, judicious surgical approach and time management for good results.
CONCLUSION
To our knowledge, no case of bilateral hematoma in an elderly subject has been reported in the literature.
引言与重要性
双侧硬膜外血肿（EDH）的发生是颅脑创伤的罕见后果，急性对称性双侧硬膜外血肿极为罕见，在老年患者中更是如此。
病例介绍
我们报告一例82岁患者，其从一段楼梯上摔倒。头皮检查符合双侧顶骨帽状腱膜下血肿。临床上，他意识模糊，格拉斯哥评分为13/15。脑部扫描显示双侧对称性顶叶硬膜外血肿，双侧顶骨均有单纯骨折。该患者接受了两阶段的硬膜外血肿清除术。
临床讨论
双侧硬膜外血肿病例的处理需要精心规划、充分暴露、明智的手术入路和时间管理，以取得良好效果。
结论
据我们所知，文献中尚未报道老年患者双侧血肿的病例。
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