Sempson Sera X, Vo Timothy L
Neurological Surgery, University of Colorado School of Medicine, Aurora, USA.
Emergency Medicine, University of Colorado Anschutz Medical Campus, Denver, USA.
Cureus. 2024 Jul 19;16(7):e64919. doi: 10.7759/cureus.64919. eCollection 2024 Jul.
Subdural hematoma (SDH) is a disease commonly seen in both the emergency department and the intensive care unit. Here, we present a case of a woman who developed acute SDH, without any precipitating trauma nor predisposing risk factors. She was managed with hemicraniectomy and SDH evacuation, with subsequent cranioplasty. Routine surveillance imaging found a subsequent, small, and again idiopathic SDH. Comprehensive hematologic workup demonstrated no evidence of coagulopathy. To our knowledge, there are minimal prior case reports published in the literature regarding idiopathic, unprovoked SDH.
硬膜下血肿（SDH）是急诊科和重症监护病房常见的疾病。在此，我们报告一例女性急性硬膜下血肿病例，该患者既无任何促发外伤，也无诱发危险因素。她接受了去骨瓣减压术和硬膜下血肿清除术，随后进行了颅骨成形术。常规监测影像学检查发现随后出现了一个小的、再次为特发性的硬膜下血肿。全面的血液学检查未发现凝血功能障碍的证据。据我们所知，文献中关于特发性、无诱因硬膜下血肿的既往病例报道极少。
