Yanagawa Y, Kiyozumi T, Terai C, Sakamoto T, Okada Y
No Shinkei Geka. 1997 Dec;25(12):1105-8.
A case was reported of massive traumatic hematoma of the basal ganglia which was treated successfully by ultrasound-guided aspiration surgery. A 8-year-old girl was transferred to our hospital 20 minutes after a traffic accident. She was in stupor and had right hemiplegia. A skull x-rays showed right temporal linear fracture and a head CT disclosed left massive putaminal hematoma. Ultrasound-guided aspiration surgery via a burr hole was performed under general anesthesia and 30 ml of hematoma was successfully evacuated. Her symptoms and signs improved gradually and she was discharged on foot 3 weeks after the accident. The clinical feature and mechanism of development of the hematoma in this lesion, and usefulness of ultrasound-guided aspiration surgery were also discussed.
报道了1例基底节区巨大创伤性血肿，经超声引导下抽吸手术成功治疗。一名8岁女孩在交通事故后20分钟被转送至我院。她处于昏迷状态，右侧偏瘫。颅骨X线显示右侧颞部线性骨折，头部CT显示左侧壳核巨大血肿。在全身麻醉下通过钻孔进行超声引导下抽吸手术，成功抽出30 ml血肿。她的症状和体征逐渐改善，事故后3周步行出院。还讨论了该病变血肿的临床特征、发生机制以及超声引导下抽吸手术的有效性。
