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外伤性斜坡区硬膜外血肿 被引量:2

Traumatic retroclival epidural hematoma
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摘要 目的探讨外伤性斜坡区硬膜外血肿的临床特点、诊断及治疗。方法回顾性分析并总结4例外伤性斜坡区硬膜外血肿患者的临床资料,所有患者均行CT、MRI检查,予以保守治疗。结果患者治愈出院,无明显神经功能缺失症状,复查CT斜坡区血肿完全吸收。结论外伤性斜坡区硬膜外血肿在临床上少见,熟悉其临床表现、选择合适的影像学检查,有助于早期诊断治疗,减少误诊率。 Objective To investigate the clinical features,diagnosis and therapy of traumatic retroclival epidural hematoma. Methods The clinical data of 4 patients with traumatic retroclival epidural hematom were analyzed retrospectively. Computed tomography scanning and magnetic resonance imaging revealed a retroclival mass lesion. The patients were treated conservatively.Results The patients had good recovery. All patients were followed up. The follow-up outcome from5 months to 1 years showed no neurological deficits or any complications. The follow-up computed tomography scanning provided no evidence of residual hematoma. Conclusion Traumatic retroclival epidural hematoma is a mainly pediatric entity usually associated with ligmentous injury at the cranniocervical junction,and can be treated conservatively with good outcome.
出处 《临床神经外科杂志》 CAS 2013年第5期299-300,共2页 Journal of Clinical Neurosurgery
关键词 斜坡区血肿 硬膜外血肿 后颅窝 clivus hematoma epidural hematoma posterior fossa
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  • 1Kwon TH,Joy H,Park YK,et al.Traumatic retroclivalepidural hematoma in a child:case report[].Neurologia Medico Chirurgica.2008 被引量:1
  • 2B Ratilal,P Castanho,C Vara Luiz,JO Antunes.Traumatic clivus epidural hematoma: case report and review of the literature[].Surgical Neurology.2006 被引量:1

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