Sokol J H, Rowed D W
Surg Neurol. 1978 Nov;10(5):340-1.
A case of traumatic intracerebellar hematoma is presented. The salient feature of the patient's early clinical course was delayed, rapid deterioration in the absence of antecedent focal neurological findings. The rarity of this lesion and its high mortality due to delay in correct diagnosis have been previously emphasized. Reported cases have followed a subacute clinical course and deterioration has been preceded by focal neurological findings. Prompt ventricular drainage followed by evacuation of the hematoma can be expected to yield a satisfactory clinical result.
本文报告一例创伤性小脑内血肿病例。该患者早期临床过程的显著特征是在无先前局灶性神经学表现的情况下出现延迟性、快速恶化。此前已强调过该病变的罕见性及其因正确诊断延迟导致的高死亡率。已报告的病例呈亚急性临床过程,且在恶化之前有局灶性神经学表现。预期及时进行脑室引流,随后清除血肿可取得满意的临床效果。