Rengachary S S, Szymanski D C
Neurosurgery. 1981 Feb;8(2):166-72. doi: 10.1227/00006123-198102000-00005.
Three cases of acute subdural hematoma related to bleeding aneurysm or arteriovenous malformation are presented. Various possible arterial sources of bleeding that may lead to subdural hematoma are reviewed. The complex cause and effect relationship between the presence of aneurysm or arteriovenous malformation and the occurrence of subdural hematoma in a head-injured patient is discussed. The pitfalls of reliance on the computed tomogram as a sole diagnostic test in the evaluation of head-injured patients or of unconscious patients with no available history are emphasized.
本文报告了3例与出血性动脉瘤或动静脉畸形相关的急性硬膜下血肿病例。回顾了可能导致硬膜下血肿的各种潜在动脉出血来源。讨论了头部受伤患者中动脉瘤或动静脉畸形的存在与硬膜下血肿发生之间复杂的因果关系。强调了在评估头部受伤患者或无可用病史的昏迷患者时，仅依靠计算机断层扫描作为唯一诊断测试的缺陷。
