Watanabe T, Nakahara K, Miki Y, Shibui S, Takakura K, Nomura K
Department of Neurosurgery, National Cancer Center Hospital, Tokyo, Japan.
Acta Neurochir (Wien). 1995;132(1-3):150-3. doi: 10.1007/BF01404865.
An encapsulated fluid epidural haematoma in a 9-year-old boy was successfully evacuated by a simple burr hole procedure 5 months after a minor head injury. Clinicopathological findings suggested that chronic expansion of an initially unsuspected epidural haematoma occurred as a result of repeated haemorrhages from the haematoma membrane, resulting in an unusually long delayed appearance of clinical evidence. This case demonstrates that a chronic expanding process similar to that seen in chronic subdural haematoma needs to be considered as a possible complication of epidural haematoma and indicates an important role for the haematoma membrane in the chronic expansion of epidural haematoma.
一名9岁男孩在轻微头部受伤5个月后，通过简单的钻孔手术成功清除了一个包裹性硬膜外血肿。临床病理结果表明，最初未被怀疑的硬膜外血肿由于血肿包膜反复出血而发生慢性扩张，导致临床证据出现异常长时间的延迟。该病例表明，需要将类似于慢性硬膜下血肿所见的慢性扩张过程视为硬膜外血肿的一种可能并发症，并表明血肿包膜在硬膜外血肿慢性扩张中起重要作用。
