Komatsu S, Takaku A, Hori S
No Shinkei Geka. 1977 Nov;5(12):1273-7.
Three cases of chronic subdural hematoma developing after direct aneurysmal surgery were presented. All patients were males and heavy drinkers. There was no history of head injury after craniotomy. In two of the three cases, the angiography was performed on the 12th postoperative day. An avascular area was already revealed on the postoperative angiograms, but there were no disorders at that time. The intervals between the aneurysmal surgery and the onset of symptoms of chronic subdural hematoma ranged from about two to three months. In this report, the diagnostic criteria for the chronic subdural hematoma resulted from intracranial surgery were also discussed with a consideration on the pathogenesis of this condition.
本文报告3例直接动脉瘤手术后发生慢性硬膜下血肿的病例。所有患者均为男性且酗酒。开颅术后无头部外伤史。3例中有2例在术后第12天行血管造影。术后血管造影已显示出无血管区,但当时并无异常。动脉瘤手术至慢性硬膜下血肿症状出现的间隔时间约为2至3个月。本报告还结合该病症的发病机制讨论了颅内手术后慢性硬膜下血肿的诊断标准。