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Asymptomatic interval in delayed traumatic intracerebral hemorrhage: report of two cases.

机译:外伤性迟发性脑出血的无症状间隔:2例报道。

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摘要

Delayed traumatic intracranial hemorrhage (DTICH) is seen mostly in trauma to the occipitoparietal region by countercoup mechanism. It is most encountered within the first posttraumatic 10 days, particularly in the first 3. Herein, two cases of delayed traumatic intracerebral hemorrhage were discussed, first one presented with headache and vomiting who had been asymptomatic for 168 days after head trauma and the other presented with dysarthria and hyperkynesias after 92 days of asymptomatic interval, either being longer than that of the previous cases reported in the literature. Despite a long time elapse, DTICH should be considered in the differential diagnosis in the patients with history of head trauma that manifests at later stages with intracranial pressure elevation symptoms such as headache, vomiting.
机译:延迟外伤性颅内出血(DTICH)主要通过对策机制在枕顶部创伤中发现。在创伤后的第一个10天内,尤其是在第三个创伤,这是最常见的。在此,讨论了两例迟发性创伤性脑出血的病例,第一个病例表现为头痛和呕吐,头部外伤后168天无症状,而另一个表现为在无症状间隔92天后出现构音障碍和运动亢进,比文献报道的以前病例更长。尽管经历了很长时间,但在有颅脑外伤史的患者的鉴别诊断中仍应考虑采用DTICH,颅脑外伤史的后期表现为颅内压升高症状,如头痛,呕吐。

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