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颅内髓外造血模拟硬膜下血肿:一例报告

Intracranial Extramedullary Hematopoiesis Simulating a Subdural Hematoma: A Case Report.

作者信息

Al-Saad Wisam, Qureshi Pir Abdul Ahad Aziz, Bollineni Vikram Rao, Tryggvason Thordur

机构信息

Radiology, University Hospital Brussels, Brussels, BEL.

Faculty of Medicine, Háskóli Íslands, Reykjavík, ISL.

出版信息

Cureus. 2024 Nov 22;16(11):e74206. doi: 10.7759/cureus.74206. eCollection 2024 Nov.

Abstract

A 68-year-old patient came to the emergency department complaining of headaches and general weakness for the past month. The patient is known to have myeloproliferative disease. Non-contrast computer tomography showed a hyperdense extra-axial collection in bilateral frontoparietal regions, which was presumed to be bilateral subdural hematoma as the initial diagnosis. A drainage procedure using a borehole was performed, and a solid substance was aspirated instead of blood. Subsequently, the diagnosis of an extramedullary hematopoiesis was made using histopathological and immunohistochemical techniques.

摘要

一名68岁患者因过去一个月头痛和全身无力前来急诊科就诊。已知该患者患有骨髓增殖性疾病。非增强计算机断层扫描显示双侧额顶叶区域有轴外高密度病灶,初步诊断推测为双侧硬膜下血肿。采用钻孔引流术,抽出的是固体物质而非血液。随后,通过组织病理学和免疫组织化学技术诊断为髓外造血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ddd/11663254/e68d32d1e2f4/cureus-0016-00000074206-i01.jpg

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