Mircevski M, Boyadziev I, Ruskov P, Mircevska D, Davkov S
Childs Nerv Syst. 1986;2(6):314-6. doi: 10.1007/BF00271946.
During the years 1967-1984, 91 children were operated on because of acute compressive traumatic intracranial hematoma: 16 (17%) had traumatic acute subdural hygromas. These were unilateral in 12 cases and bilateral in 4. The causes of injury were traffic accidents in 11 children, a fall in 1, and acute deceleration injuries in 5. Nine children suffered multiple injuries to the thorax, inferior extremities, and pelvis. Clinical manifestations and evolution of clinical symptoms included changes in conscious level, palsy, high fever, nystagmus, maximum dilation of either pupil and spontaneous, irregular breathing. The diagnosis was made on the basis of the clinical picture and supplementary clinical investigations: CT, EEG, echoencephalography, isotope cisternography, and arteriography. Treatment was by simple trephination of the cranium and evacuation of hygromatous liquid. All children survived the surgical treatment; 1 child died after the operation and 2 developed hydrocephalus.
在1967年至1984年期间，91名儿童因急性压迫性创伤性颅内血肿接受了手术治疗：其中16名（17%）患有创伤性急性硬膜下积液。12例为单侧，4例为双侧。受伤原因包括：11名儿童因交通事故受伤，1名因跌倒受伤，5名因急性减速伤受伤。9名儿童的胸部、下肢和骨盆多处受伤。临床表现及临床症状演变包括意识水平改变、麻痹、高热、眼球震颤、一侧瞳孔最大程度散大以及自主、不规则呼吸。诊断基于临床表现及补充临床检查：CT、脑电图、脑回波描记术、同位素脑池造影和动脉造影。治疗方法为颅骨简单环钻术并引流积液。所有儿童均在手术治疗后存活；1名儿童术后死亡，2名儿童出现脑积水。
