Rapid Resolution of Infantile Acute Subdural Hematoma: A Case Report

嬰兒急性硬腦膜下出血極為少見，大部份發生於非意外性之傷害或與車禍有關。在此我們報告一例外傷性急性硬腦膜下出血在受傷65個小時後快速吸收之病例。這是一位l歲11個月大的男嬰因不小心從10公尺高處摔下來。腦部電腦斷層檢查發現為左側硬腦膜下出血併腦中線轉移。這血腫在受傷65個小時後的第二次腦部電腦斷層檢查發現已完全自動吸收。一般認為這血腫有一部份是在腦蜘蛛膜下腔內，但在影像上看卻像是在硬腦膜下之血腫。當發現嬰兒急性硬腦膜下出血時，第一個考慮是嬰兒是否需接受開顱及血腫清除手術。第二個考慮是該嬰兒是否為非意外傷朗所引起如「受虐兒」。本篇報告主要是討論會自動消失之硬腦膜下出血與典型硬腦膜下出血在臨床上與影像學上之異同。

關鍵字

急性硬腦膜下出血；嬰兒；頭部外傷

並列摘要

Subdural hematomas in infants are uncommon but usually result from non-accidental trauma or from trauma associated with motor vehicle accidents. This report describes the case of an infant with a traumatic acute subdural hematoma that resolved within 65 hours. A 23-month-old boy fell from a height of approximately 10 m. Brain computed tomography disclosed a left subdural hematoma with midline shift. The associated clots resolved spontaneously within 65 hours of the injury. Although they may mimic more clinically significant subdural hematomas, such collections of clots are likely to be located at least partly within the subarachnoid space. Their recognition may influence decisions regarding both surgical evacuation and the likelihood of non-accidental injury. Clinical and radiographic features distinguishing these ”disappearing subdural hematomas” from more typical subdural hematomas are discussed.

並列關鍵字

acute subdural hematoma ； infant ； head injury

國際替代計量

Rapid Resolution of Infantile Acute Subdural Hematoma: A Case Report

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