- 期刊
Interhemispheric Subdural Hematoma-Report of Five Cases
大腦半球間硬腦膜下血腫
摘要
大腦半球間硬腦膜下血腫是一種少見的硬腦膜下出血，但臨床表現、預後及治療方式都與硬腦膜下出血不同。臨床特徵為造成對側肢體偏癱，且下肢比上肢明顯的症狀，即所謂的大腦鐮症候群。治療方式依病人臨床表現決定採保守療法或開刀。最近兩年間在本院共有五個病人診斷為大腦半球間硬腦膜下血腫。發生率為1.3%，平均年齡為59.6歲，男女的比例為2:3。其中有兩個病人出現大腦鐮症候群(40%)；兩個存活的病人都有接受顱骨切開術，死亡率為60%。
並列摘要
Objectives: An interhemispheric subdural hematoma is a blood clot in the subdural space at the interhemispheric fissure and is an unusual form of subdural hematoma. The clinical course, prognosis and treatment are different from subdural hematoma over the convexity. Contralateral hemiparesis which is worse in the lower extremities than the upper extremities is characteristic of this lesion, and is referred to as falx syndrome. Treatment consisting of conservative observation or a craniotomy, is indicated by the clinical course. Here we present 5 patients diagnosed with interhemispheric subdural hematoma over 2 consecutive years. The overall incidence rate was 1.3% in all patients with intracranial hemorrhage in our hospital during that time. Two of these patients were men and 3 were women, and the average age was 59.6 years old. Falx syndrome was observed in 2 patients with trauma. The 2 patients who survived received a craniotomy.