吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (03): 628-630.doi: 10.13481/j.1671-587x.20180332

• 临床医学 • 上一篇    下一篇

颅脑损伤后硬膜外血肿骨化1例报告及文献复习

王冲1, 郝铮2, 刘伟明1, 赵丛海1, 张金男1   

  1. 1. 吉林大学中日联谊医院神经外一科, 吉林 长春 130033;
    2. 山西医科大学第二医院神经外科, 山西 太原 030001
  • 收稿日期:2017-12-03 出版日期:2018-05-28 发布日期:2018-05-31
  • 通讯作者: 张金男,教授,副主任医师(Tel:0431-84995933,E-mail:2453024@qq.com) E-mail:2453024@qq.com
  • 作者简介:王冲(1990-),男,海南省海口市人,在读医学硕士,主要从事神经肿瘤诊治方面的研究。
  • 基金资助:
    吉林省科技厅科技发展计划项目资助课题(20170204014YY);吉林省卫计委和吉林省财政厅科研基金资助课题(2015Q015)

Epidural hematoma ossification after craniocerebral injury: A case report and literature review

WANG Chong1, HAO Zheng2, LIU Weiming1, ZHAO Conghai1, ZHANG Jinnan1   

  1. 1. First Department of Neurosurgery, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
    2. Department of Neurosurgery, Second Hospital, Shanxi Medical University, Taiyuan 030001, China
  • Received:2017-12-03 Online:2018-05-28 Published:2018-05-31

摘要: 目的:分析1例颅脑损伤后硬膜外血肿骨化患者的临床资料,并结合文献复习完善对该病的认识、提高该病的诊治水平。方法:36岁男性患者,因"头晕、头痛3个月"入院。对患者进行全面的体格检查及相关影像学检查,明确病变位置、大小及其与颅骨和硬脑膜的关系。患者因多发骨髓瘤行化疗4个月,评估其颅内病变影像学特征的变化。手术后根据活检病理结果明确诊断,针对患者的症状给予对症支持治疗。结果:根据影像学检查及术后病理结果,患者诊断为颅脑外伤后硬膜外血肿骨化,排除颅骨骨瘤及多发性骨髓瘤转移的可能,随访2年病灶稳定。结论:对于颅脑外伤后硬膜外血肿骨化患者,应考虑颅骨骨瘤的可能,并排除其他一些骨质病变,诊断需要根据影像学证据,必要时依据活检病理结果确诊。

关键词: 颅骨骨瘤, 多发性骨髓瘤, 颅脑损伤, 硬膜外血肿骨化

Abstract: Objective: To analyze the clinical data of a patient with epidural hematoma ossification after craniocerebral injury,and to improve the understanding and treatment level of the disease by combing the literature review. Methods: A 36-year-old man with headache and dizziness for 3 months was performed general physical examination and related imaging examination to identify the location and size of the lesion and its relationships with skull and endocranium.The patient with multiple myeloma was treated with chemotherapy for 4 months.The changes of imaging features of the intracranial lesions were judged.The diagnosis was confirmed by biopsy pathology result after operation and the patient was given the corresponding treatment. Results: The diagnosis was regarded as epidural hematoma ossification after craniocerebral injury according to the patient's imaging examination and the pathological results after operation.The diagnosis results of skull osteoma and multiple myeloma metastasis were excluded.The lesion was stable during the follow-up of two years. Conclusion: For the patient with epidural hematoma ossification after craniocerebral injury,the skull osteoma should be considered,and other bone diseases should be excluded.The imaging evidence is needed for the diagnosis.The results of biopsy pathology should be taken if necessary.

Key words: craniocerebral injury, multiple myeloma, skull osteoma, epidural hematoma ossification

中图分类号: 

  • R683.5