[Acute epidural hematoma of the posterior fossa caused by forehead impact].
[Acute epidural hematoma of the posterior fossa caused by forehead impact].
复制标题
额头撞击致后颅窝急性硬膜外血肿[J].
DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
H. Kanaya
中科院分区：
文献类型：
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作者：
S. Abe;K. Furukawa;S. Endo;S. Hoshi;H. Kanaya
本文报告一个罕见的因前额撞击而造成后颅窝急性硬脑膜外血肿的病例。这名36岁的男子从卡车上摔下来，撞到了脸。他有意识，受伤后30分钟被带到我们的中心。入院时，发现右前额有挫伤。他坐立不安，颈部和上肢剧烈疼痛。头颅X线检查显示额骨线性骨折，计算机断层扫描（CT）扫描正常。他继续坐立不安，入院后10小时突然发生呼吸骤停和瞳孔扩张。CT扫描显示左后颅窝有一个豆状高密度区，延伸到幕上区域。第四脑室受压并向右移位，四叠体和环池也完全不可见。立即手术显示左侧后颅窝和幕上有30 g硬膜外血肿，血凝块被完全清除。无法确定出血源。打开硬脑膜发现枕叶有挫伤。他于术后第17天死亡。本文并就后颅窝血肿产生的可能机制进行讨论。
A rare case of acute epidural hematoma of the posterior fossa caused by forehead impact is reported. This 36-year-old man fell from a truck and hit his face. He was conscious and was brought to our center 30 minutes after the injury. On admission, a contused wound of the right forehead was noticed. He was restless and had severe pain in the neck and upper extremities. Skull X-ray showed a linear fracture of the frontal bone and computed tomography (CT) scan was normal. He continued to be restless and sudden respiratory arrest and pupillary dilation occurred 10 hours after the admission. A CT scan revealed a lenticular high density area in the left posterior fossa which extended to the supratentorial region. The 4th ventricle was compressed and displaced to the right and also the quadrigeminal and ambient cisterns were not visualized at all. Immediate surgery disclosed a 30 g epidural hematoma of the left posterior fossa and the supratentorium and the clot was completely evacuated. The source of bleeding could not be identified. Opening of the dura revealed contusion in the occipital lobe. He died on the 17th postoperative day. The possible mechanism in the production of the posterior fossa hematoma in this case is discussed.