Abrupt Exacerbation of Acute Subdural Hematoma Mimicking Benign Acute Epidural Hematoma on Computed Tomography : Case Report
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概要
- 論文の詳細を見る
患者は交通事故による75才男性で、CT上左側頭部頭蓋骨下に凸レンズ型の内部が均一な厚さ1.5cmの血腫を認めた。症状が軽微なため、入院後保存的に加療を行なったが受傷33時間後突然の嘔吐・頭痛と左動眼神経麻痺を呈したためCT撮影したところ血腫が増大し、三日月型を呈していた。緊急減圧開頭血腫除去術にて純粋な急性硬膜下血腫であった。急性硬膜下血腫のCT上の形状が凸型を示すのは約1割であり急性硬膜外血腫との鑑別が必要である。又、33時間後の急激な悪化の理由にsecond impact syndromeの関与を示唆した。萎縮した老人脳でこの型の血腫を見た場合、急性増悪の可能性を考え、手術治療が適当と思われた。
- 日本脳神経外科学会の論文
- 1999-01-15
著者
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嘉藤 邦彦
千葉労災病院脳神経外科
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WATANABE Osamu
Department of Surgery, Tokyo Women's Medical University Daini Hospital.
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OZAWA Yoshinori
Department of Neurosurgery, Chiba Rosai Hospital
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Watanabe Osamu
Department Of Surgery Tokyo Women's Medical University Daini Hospital
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Ozawa Yoshinori
Department Of Neurological Surgery School Of Medicine Chiba University
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Ozawa Yoshinori
Department Of Neurosurgery Chiba Rosai Hospital
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Watanabe Osamu
Department Of Computer Science And Systems Engineering Muroran Institute Of Technology
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Watanabe Osamu
Department of Applied Chemistry, Faculty of Engineering, Yamagata University
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