CT analysis of acute traumatic epidural hematoma with deep subcortical hematoma

doi:10.3877/cma.j.issn.2095-9141.2021.04.005

Abstract

Abstract:

Objective

To explore the CT findings of different types of acute traumatic epidural hematoma (ATEDH) combined with deep subcortical hematoma.

Methods

The clinical data, CT thin-slice scans and three-dimensional reconstruction findings of 5 cases of ATEDH combined with subcortical hematomas admitted in Neurosurgery Department of the 900^th Hospital of Joint Logistics Team from October 2019 to November 2020 were analyzed retrospectively.

Results

Subcortical hematomas in the deep surface of ATEDH all occurred during the first CT scan after injury. The CT noncontrast enhanced scan showed subcortical dot, massive, beaded or bar-like high-density shadows, surrounded by low-density areas. Such hematomas are adjacent to venous sinuses. The intracerebral hematoma in the deep surface of ATEDH has not increased, and the surrounding low-density area will gradually disappear.

Conclusion

A small number of ATEDH can cause the subcortical hematoma in the corresponding area, which may be related to local venous circulation disorders. Active surgical removal of ATEDH is beneficial for the control of this type of brain injury.

Key words: Acute traumatic epidural hematoma, Brain injury, Fracture, CT, Venous circulation

Zihuan Zeng, Wei Wang, Jun Li, Liangfeng Wei, Shousen Wang. CT analysis of acute traumatic epidural hematoma with deep subcortical hematoma[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2021, 07(04): 211-215.

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References 16

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病例编号	性别	年龄	疾病类型	首诊时间	GCS评分	肌力障碍
1	男	36岁	摔伤	1 d	14	无
2	男	43岁	坠落伤	4 h	3	有
3	男	29岁	车祸伤	3 h	7	有
4	女	16岁	车祸伤	3 h	12	有
5	男	63岁	摔伤	2 d	15	有

病例编号	性别	年龄	疾病类型	首诊时间	GCS评分	肌力障碍
1	男	36岁	摔伤	1 d	14	无
2	男	43岁	坠落伤	4 h	3	有
3	男	29岁	车祸伤	3 h	7	有
4	女	16岁	车祸伤	3 h	12	有
5	男	63岁	摔伤	2 d	15	有

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