急性创伤性后颅窝硬膜下血肿

Acute traumatic posterior fossa subdural haematomas.

作者信息

Borzone M, Rivano C, Altomonte M, Baldini M

机构信息

Institute of Neurosurgical Clinic, University of Genoa, Italy.

出版信息

Acta Neurochir (Wien). 1995;135(1-2):32-7. doi: 10.1007/BF02307411.

DOI:10.1007/BF02307411

PMID:8748789

Abstract

Acute Posterior Fossa Subdural Haematoma (PFSDH) caused by trauma is a clinical rarity: only 13 cases have been encountered in the literature. Three consecutive personal cases of PFSDH are presented. Two of them are respectively the sixth and the seventh surgically treated cases with success. Among the 16 cases 60% had a sudden clinical worsening within 24 hours. Seven cases had an occipital fracture. Of the thirteen cases operated upon 11 (85%) were in a state of deep coma. The surgical mortality was 46%. One patient had a good recovery (Grade 5) and six a moderate disability (Grade 4) on the Glasgow Outcome Scale. We conclude that surgical treatment must always be carried out even in patients presenting in an agonal state.

摘要

创伤性急性后颅窝硬膜下血肿（PFSDH）临床罕见：文献中仅报道过13例。本文介绍了连续3例PFSDH个人病例。其中2例分别是第6例和第7例经手术成功治疗的病例。16例患者中，60%在24小时内出现临床症状突然恶化。7例有枕骨骨折。13例接受手术治疗的患者中，11例（85%）处于深度昏迷状态。手术死亡率为46%。根据格拉斯哥预后量表，1例患者恢复良好（5级），6例有中度残疾（4级）。我们得出结论，即使是处于濒死状态的患者也必须始终进行手术治疗。