Ide M, Jimbo M, Yamamoto M, Umebara Y, Hagiwara S
Department of Neurosurgery, Tokyo Women's Medical College Dai-ni Hospital.
Neurol Med Chir (Tokyo). 1993 Aug;33(8):559-63. doi: 10.2176/nmc.33.559.
Three adults with asymptomatic calcified chronic subdural hematoma are described. Plain skull x-ray films following head trauma disclosed calcified chronic subdural hematomas and computed tomography (CT) revealed large, frontoparietal, calcified hematomas in all cases. A 49-year-old male received hematoma removal because of his lower age and CT evidence of cerebral compression. An 83-year-old male was not operated on and remained asymptomatic. The third patient died of trauma-related injuries. In the non-elderly, surgery for asymptomatic calcified chronic subdural hematoma with significant cerebral compression should be considered for relief of cerebral compression and prevention of possible future brain damage.
本文描述了3例患有无症状钙化性慢性硬膜下血肿的成年人。头部外伤后的颅骨平片显示有钙化性慢性硬膜下血肿,计算机断层扫描(CT)显示所有病例均存在额顶部的巨大钙化性血肿。一名49岁男性因年龄较轻且CT显示有脑受压证据而接受了血肿清除术。一名83岁男性未接受手术,仍无症状。第三名患者死于创伤相关损伤。对于非老年人,对于有明显脑受压的无症状钙化性慢性硬膜下血肿,应考虑手术以缓解脑受压并预防未来可能的脑损伤。