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钙化性慢性硬膜外血肿的不寻常影像学及临床发现(作者译)

[Unusual radiological and clinical findings in a calcified chronic extradural haematoma (author's transl)].

作者信息

Schumacher M, Oldenkott P, Peiffer J, Schumm F

出版信息

Neurochirurgia (Stuttg). 1982 Jan;25(1):1-6. doi: 10.1055/s-2008-1053945.

Abstract

In three of 32 patients with epidural haematomas calcifications and ossifications of the bleeding were found. Quickly developing (3 to 7 weeks) ossifications could be demonstrated by repeated X-rays and CT of the skull in partial drained or untreated haematomas. No ossification could be observed in the remaining 29 cases, in which the haematomas were completely removed. The growth of the ossification from the parietal to the visceral side within the capsules of the haematomas could be monitored in its progress by CT and was histologically verified. The underlying pathological mechanisms are discussed.

摘要

在32例硬膜外血肿患者中,有3例发现出血部位存在钙化和骨化现象。对于部分引流或未治疗的血肿,通过反复进行颅骨X线检查和CT扫描,可以显示出快速形成(3至7周)的骨化。其余29例血肿完全清除的病例中未观察到骨化现象。血肿包膜内骨化从颅顶向颅内面生长的过程可通过CT进行监测,并经组织学证实。文中讨论了潜在的病理机制。

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