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[胼胝体创伤性血肿的计算机断层扫描——2例报告]

[Computerized tomography of the traumatic hematoma in the corpus callosum. --Report of 2 cases].

作者信息

Ogura K, Yamamoto I, Hara M, Suzuki Y, Nakane T, Watanabe M

出版信息

No Shinkei Geka. 1982 Dec;10(12):1299-301.

PMID:7170069
Abstract

The value of the computerized tomography (CT) in the diagnosis of the intracerebral hematoma has been well documented. However, there is little report about the CT findings of the hematoma of the corpus callosum. This report presents two cases of the traumatic hematoma in the corpus callosum and is discussed about their CT findings. Two patients, 52 year-old male and 40 year-old male, respectively, are the cases of blunt mechanical head trauma which were accompanied neither by skull fracture nor by scalp injury. In all these cases, the findings that hematoma occupied from the genu to the body of the corpus callosum were verified by surgery and the axial CT revealed the following two similar findings. First; the hematoma in the genu of the corpus callosum was shown as a crescent-shaped high density mass. This finding seems to be due to the following anatomical structure, that is, the genu of the corpus callosum is located just in front of the anterior horn of the lateral ventricles in the shape of the convex towards posteriorly. Second; as the midportion of the body of the corpus callosum tends to be appeared narrow in width between both lateral ventricles, the hematoma which extended from the genu towards the body of the corpus callosum was shown as a dumbbell-shaped high density mass.

摘要

计算机断层扫描(CT)在诊断脑内血肿方面的价值已有充分记载。然而,关于胼胝体血肿的CT表现报道较少。本报告介绍了两例胼胝体创伤性血肿病例,并对其CT表现进行了讨论。两名患者分别为52岁男性和40岁男性,均为钝性头部机械性外伤,既无颅骨骨折也无头皮损伤。在所有这些病例中,手术证实血肿占据了胼胝体的膝部至体部,轴向CT显示了以下两个相似表现。首先,胼胝体膝部的血肿表现为新月形高密度肿块。这一表现似乎归因于以下解剖结构,即胼胝体膝部位于侧脑室前角前方,呈向后凸的形状。其次,由于胼胝体体部中部在两侧脑室之间往往显得较窄,从膝部向胼胝体体部延伸的血肿表现为哑铃形高密度肿块。

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