急性硬膜下血肿自发性消退,临床效果良好1例报告

In Kyung Lee, S. Song
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引用次数: 3

摘要

通讯作者:Sang Woo Song建国大学医学院神经外科,建国大学医学中心,120-1,首尔广津区Neungdong-ro,首尔05030,大韩民国电话:+82-2-2030-7357传真:+82-2-2030-7729 E-mail: 20120168@kuh.ac.kr急性硬膜下血肿(ASDH)通常发生在严重的颅脑外伤,可能导致神经系统恶化和/或颅内高压,需要紧急减压手术。即使经过积极的医疗治疗,伴有神经系统状况差和严重中线移位的ASDH也会给患者及其家庭带来严重的社会经济损失,通常不进行手术治疗就会死亡。在这里,我们报告一例74岁男性ASDH患者在保守治疗下自发消失,并通过文献综述讨论可能的机制。
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Spontaneous Resolution of Acute Subdural Hematoma with a Good Clinical Outcome: A Case Report
Corresponding author: Sang Woo Song Department of Neurosurgery, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1, Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of Korea Tel: +82-2-2030-7357 Fax: +82-2-2030-7729 E-mail: 20120168@kuh.ac.kr Acute subdural hematoma (ASDH) usually occurs with severe traumatic head injury, which could result in neurologic deteriorations and/or intracranial hypertension, requiring emergency decompression surgery. Even after vigorous medical treatment, ASDH with poor neurologic status and severe midline shift with brain herniation could bring a serious socioeconomic loss to patients and their families, and death is generally expected without surgical intervention. Here, we report a case of a 74-year-old man with ASDH who spontaneously disappeared under conservative treatment and discuss the possible mechanisms with a literature review.
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