腦瘤手術後併發對側硬腦膜外血腫－病例報告及文獻回顧

Contralateral Epidural Hematoma Following the Craniotomy For in Tracerebral Tumor One Case Reroprt and Review of Literature

郭泰宏(Tai-Hong Kuo) ； 黃旭霖(Shiuh-Lin Hwang) ； 孫楨民(Zhen-Min Sun) ； 洪純隆(Shen-Long Howng)

《The Kaohsiung Journal of Medical Sciences》 10卷1期 (1994/01) Pp. 48-51

https://doi.org/10.6452/KJMS.199401.0048

摘要

A 40-year old female patient suffered from headaches for 2 months. Two days before admission, the headache got worse and vomiting and seizures followed. Brain CT scans revealed a right frontal intracerebral tumor. So she received a craniotomy to remove the tumor, which was verified as glioblastoma multiforme. The postoperative course was uneventful. However, headaches attacked again two weeks later. An epidural hematoma on the left parietooccipital region was found on brain CT scans. The craniotomy was done to remove the hematoma and no abnormal vessels or inflammation was seen in the operative field. This was the first such case we had encountered. We review the literature and discuss possible factors related to this case.

並列摘要

本文報告一例位於天慕上區的腦瘤，在手術後併發對側硬腦膜外血腫。本病例是位40歲女性，因頭痛、嘔吐、視力模糊，經急診住院，腦部電腦斷層檢查顯示右側額頂葉腦瘤，病息接受閉顱手術及腦瘤摘除（病理檢查為多形性神經膠母細胞瘤），手術過程及術後狀況均順利。術後二週，病患有漸進性頭痛，電腦斷層檢查委現左側頂枕區有硬腦膜外血腫，病思接受開顱手術及血腫清除，術復情況十分良好。因天慕上區腦瘤手術技，於對側產生硬腦膜外血腫的情況，在文獻上並不多見，故提出報告且討論此硬腦膜外血腫形成的可能機轉。

並列關鍵字

intracerebral tumor ； contralateral epidural hcmatoma