Kawata Y, Kunimoto M, Sako K, Hashimoto M, Suzuki N, Ohgami S, Yonemasu Y
Department of Neurosurgery, Asahikawa Medical College, Japan.
No Shinkei Geka. 1994 Jan;22(1):51-4.
Two cases of ossified epidural hematomas were reported. Patients were nine and twelve year-old boys. Initially they were both followed up conservatively after injuries. Subsequently they were found on CT scan to have calcifications in the capsules of epidural hematomas which were found four months after injury in one case and twelve days after injury in the other. Both underwent craniotomy and histological ossification was found in the capsules of the hematomas. Epidural hematomas in children are known to ossify, and this condition may prevent natural absorption of epidural hematomas. Therefore, careful follow up of hematomas seems to be mandatory on conservative therapy of epidural hematomas in children.
报告了两例骨化性硬膜外血肿病例。患者为9岁和12岁的男孩。最初,两人受伤后均接受保守治疗。随后,CT扫描发现他们硬膜外血肿包膜内有钙化,其中一例在受伤后4个月发现,另一例在受伤后12天发现。两人均接受了开颅手术,血肿包膜内发现组织学骨化。儿童硬膜外血肿已知会发生骨化,这种情况可能会阻止硬膜外血肿的自然吸收。因此,对于儿童硬膜外血肿的保守治疗,似乎必须对血肿进行仔细随访。