Acute epidural hematoma caused by contrecoup head injury--case report.
Acute epidural hematoma caused by contrecoup head injury--case report.
复制标题
颅脑对侧损伤致急性硬膜外血肿一例报告。
DOI：
10.2176/nmc.44.584
复制
发表时间：
2004
影响因子：
1.9
通讯作者：
H. Kawamura
中科院分区：
文献类型：
--
作者：
T. Mitsuyama;M. Ide;H. Kawamura
一位50岁的女性提出了一个罕见的情况下，对冲硬膜外血肿（EDH）与政变EDH。她在骑自行车时被汽车撞到，头部左顶骨撞到地上。她恍惚了几分钟。入院时，患者主诉恶心，但无神经功能缺损。颅骨X线片显示左颞骨线性骨折。计算机断层扫描（CT）显示由于对冲伤导致的右额部急性EDH，以及由于对冲伤导致的左颞部薄EDH。入院后反复呕吐。她变得昏昏欲睡，并表现出右侧轻偏瘫。2小时后进行的CT显示左侧对侧EDH增大，但右侧对侧EDH无增大。紧急疏散扩大的政变EDH进行。手术后，她立即变得警觉，右侧轻偏瘫消退。在没有扩大的情况下，保守治疗对冲EDH。她在受伤后12天出院，没有神经功能缺损。
A 50-year-old woman presented with a rare case of contrecoup epidural hematoma (EDH) associated with coup EDH. She was hit by a car while riding a bicycle, and struck the left parietal region of her head on the ground. She was dazed for a few minutes. On admission, she complained of nausea but exhibited no neurological deficits. Skull radiography revealed a linear fracture of the left temporal bone. Computed tomography (CT) demonstrated acute EDH in the right frontal region due to contrecoup injury, and thin EDH in the left temporal region due to coup injury. She vomited repeatedly after admission. She became lethargic and exhibited right hemiparesis. CT, taken 2 hours later, revealed enlargement of the left coup EDH, but no enlargement of the right contrecoup EDH. An emergent evacuation of the enlarged coup EDH was performed. Immediately after the operation, she became alert and the right hemiparesis subsided. The contrecoup EDH was conservatively treated, in the absence of enlargement. She was discharged 12 days after the injury without neurological deficits.