骨膜的血管曲张伴自发帽状腱膜下血肿

来源 :国外医学.神经病学神经外科学分册 | 被引量 : 0次 | 上传用户:zbblyd
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自发性帽状腱膜下血肿罕有报导.本文报导一例手术证实为骨膜帽状腱膜静脉畸形所致的自发性帽状腱膜下血肿.患儿,男,13岁,病前无外伤及发热,入院5天前发现右头皮肿胀并在其后逐渐增大,伴轻压痛,肿胀处软,肤色正常,未听到血管杂音,病变大小不随头位变更.余检查无异常.血球比积37%,其它血液学检查正常,颅片仅见右侧软组织肿胀,未见交通孔道.肿胀处穿刺,抽出60毫升陈旧血液后,局部变平.3天后又复发,第6天再次入院,此可凹性肿胀已累及两侧前头部,眼睑和右半侧头顶部.右后颈部淋巴结可触及,不痛,CT检查除 Spontaneous subgaleal hematoma of the subchondral rarely reported.In this paper, we report a case of surgically confirmed spontaneous subgaleal hematoma caused by periosteal capithelial venous malformations in children, male, 13 years old, no pre-existing trauma and fever , 5 days before admission found that the right scalp swelling and then gradually increased, with mild tenderness, swollen at the soft, normal skin tone, no vascular noise was heard, the size of the lesion does not change with the head. I checked no abnormal hematocrit 37 %, Other hematology examination was normal, only see the soft tissue of the right cranial cranial swelling, no traffic channel. Swelling puncture, out of 60 ml of old blood, local flatten .3 days after the recurrence, the sixth day of re-admission, this concave Sexual swelling has been involved on both sides of the front of the head, eyelids and right half of the top of the head. Right posterior neck lymph nodes can be touched, no pain, CT examination except
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