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題名 | Calcified Chronic Subdural Hematoma: Case Report=鈣化慢性硬腦膜下血腫:一例報告 |
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作者 | 顏華正; 林坤榮; 李石增; 昝文清; | 書刊名 | 長庚醫學 |
卷期 | 21:4 1998.12[民87.12] |
頁次 | 頁521-525 |
分類號 | 416.291 |
關鍵詞 | 慢性硬腦膜下出血; 鈣化; 癲癇發作; Chronic subdural hematoma; Calcification; Epileptic seizure; |
語文 | 英文(English) |
中文摘要 | 鈣化慢性硬腦膜下血腫之病例十分罕見。過去之文獻報告顯示大部份之鈣化血腫 好發於大腦半球之凸面。本文報告之之鈣化血腫正位於小腦天幕之上並緊鄰大腦鐮,其發生 之位置乃過去之文獻未曾提及。臨床上,鈣化慢性硬腦膜下血腫多以癲癇發作、智能遲鈍、 身體發育延遲、輕偏癱及步伐障礙作表現。鈣化慢性硬腦膜下血腫需與鈣化性硬腦膜上血腫 、鈣化性硬腦膜下膿瘍、腦膜瘤、鈣化性蜘蛛網囊腫、及硬腦膜鈣化併硬腦膜上血腫做鑑別 診斷。對於患有鈣化慢性硬腦膜下血腫之患者,若有急性或漸進性之神經症狀時應考慮手術 摘除。本病例顯示對於難控制之癲癇,摘除鈣化性血腫可能可以改善病人之癲癇發作。 |
英文摘要 | Calcified or ossified chronic subdural hematoma is a rare entity that usually presents as a space-occupying lesion over the cerebral convexity. We report a case of calcified and ossified chronic subdural hematoma in an unusual location that has not been previously reported. A 24-year-old man with a history of tonic-clonic convulsions since 7 months of age was admitted because of increasing frequency and duration of seizures. Computed tomography and magnetic resonance imaging demonstrated a fusiform extra-axial lesion just above the tentorium and adjacent to the cerebral falx. A calcified and ossified chronic subdural hematoma was noted and was almost completely removed by craniotomy. Better seizure control was achieved by removal of the calcified chronic subdural hematoma. Calcified subdural hematoma, calcified epidural hematoma, calcified empyema, meningioma, calcified arachnoid cyst, and calcified convexity of the dura mater with acute epidural hematoma should be considered for the differental diagnosis of an extra-axial calcified lesion. |
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