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首页> 外文期刊>Journal of Korean Neurosurgical Society >Spontaneous Bilateral Supratentorial Subdural and Retroclival Extradural Hematomas in Association with Cervical Epidural Venous Engorgement
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Spontaneous Bilateral Supratentorial Subdural and Retroclival Extradural Hematomas in Association with Cervical Epidural Venous Engorgement

机译：自发性双上颌上硬膜下硬膜外和后硬膜外硬膜外血肿伴颈椎硬膜外静脉充血

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摘要

We describe a case of 36-year-old man who presented with a subacute headache preceded by a 1-month history of posterior neck pain without trauma history. Head and neck magnetic resonance imaging (MRI) studies disclosed bilateral supratentorial subdural and retroclival extradural hematomas associated with marked cervical epidural venous engorgement. Cerebral and spinal angiography disclosed no abnormalities except dilated cervical epidural veins. We performed serial follow-up MRI studied to monitor his condition. Patient's symptoms improved gradually. Serial radiologic studies revealed gradual resolution of pathologic findings. A 3-month follow-up MRI study of the brain and cervical spine revealed complete resolution of the retroclival extradural hematoma, disappearance of the cervical epidural venous engorgement, and partial resolution of the bilateral supratentorial subdural hematoma. Complete resolution of the bilateral supratentorial subdural hematoma was confirmed on a 5-month follow-up brain MRI. The diagnosis and possible mechanisms of this rare association are discussed.
机译：我们描述了一个病例，该病例为一例36岁的男性，患有亚急性头痛，其后有1个月的后颈痛史，无外伤史。头颈磁共振成像（MRI）研究揭示了双侧上膜硬膜下和硬膜外后硬膜外血肿与明显的宫颈硬膜外静脉血肿有关。脑和脊髓造影显示除扩张的颈硬膜外静脉没有异常。我们进行了连续随访MRI研究，以监测他的病情。病人的症状逐渐好转。放射学系列研究显示病理结果逐渐消失。对脑和颈椎进行的为期3个月的MRI MRI研究显示，足底硬膜外后血肿完全消退，宫颈硬膜外静脉血肿消失，双侧胸膜上硬膜下血肿部分消退。在5个月的随访脑MRI中证实了双侧上上硬膜下硬膜下血肿的完全消退。讨论了这种罕见关联的诊断和可能的机制。

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