Lang E W, Hohenstein C, Nabavi A, Mehdorn H M
Neurochirurgische Klinik, Christian Albrechts-Universität, Kiel.
Nervenarzt. 1998 Apr;69(4):342-51. doi: 10.1007/s001150050281.
The interhemispheric subdural hematoma (ISH) is a special subdural hematoma with regard to both location and symptomatology. The most widely described clinical signs and symptoms associated with an ISH are a lucid interval and the falx syndrome. The latter is featured by a contralateral hemiparesis that is accentuated in the lower extremity but spares the face. Minor head trauma or a preexisting coagulation disorder are also often found. Nonsurgical treatment should be chosen in patients with little neurologic dysfunction and a stable clinical course. Patients with progressive neurologic deterioration and focal neurologic deficits should be operated on without delay. This article provides a review of 99 published cases of ISH and adds 3 cases to the existing literature.
大脑镰旁硬膜下血肿（ISH）在位置和症状学方面都是一种特殊的硬膜下血肿。与ISH相关的最常被描述的临床体征和症状是清醒期和大脑镰综合征。后者的特征是对侧偏瘫，下肢症状加重而面部不受累。还经常发现轻微头部外伤或既往存在的凝血障碍。对于神经功能障碍轻微且临床过程稳定的患者，应选择非手术治疗。出现进行性神经功能恶化和局灶性神经功能缺损的患者应立即进行手术。本文回顾了99例已发表的ISH病例，并在现有文献基础上增加了3例。
