Spontaneous epidural hematoma secondary to spheroid sinusitis

• TAKAHASHI Yoshinobu

  Department of Neurosurgery, Hokuto Hospital

• HASHIMOTO Naoya

  Department of Neurosurgery, Osaka University Medical School

• HINO Akihiko

  Department of Neurosurgery, Saiseikai Shiga Hospital

書誌事項

タイトル別名

• Spontaneous Epidural Hematoma Secondary to Sphenoid Sinusitis -Case Report-
• —Case Report—

抄録

Epidural hematoma is typically caused by direct head trauma. Spontaneous epidural hematoma can be caused by infections of adjacent regions, vascular malformations of the dura mater, and disorders of blood coagulation. A 10-year-old girl with no history of head injury presented with complaints of headache and fever. On arrival at our hospital, her Glasgow Coma Scale score was 13 and neurological examination revealed right oculomotor palsy and left hemiparesis. Computed tomography (CT) showed an epidural hematoma in the right temporal base. Preoperative angiography identified no specific vascular lesions. Removal of the hematoma was undertaken immediately. Retrospective evaluation of the preoperative CT revealed sphenoid sinusitis and a bone defect between the temporal base and the sphenoid sinus. The epidural hematoma was probably caused by the spread of inflammation from the sphenoid sinus. Sphenoid sinusitis is one of the possible causes of acute epidural hematoma, especially if no traumatic episodes or risk factors can be identified.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 50 (5), 399-401, 2010

  一般社団法人 日本脳神経外科学会

キーワード

• sphenoid sinusitis
• spontaneous epidural hematoma

詳細情報

• CRID: 1390001205055849088
• NII論文ID: 10026469249
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.50.399
• ISSN: 13498029
• ISSN: 04708105
• Web Site: http://www.jstage.jst.go.jp/article/nmc/50/5/50_5_399/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2011023610
• 本文言語コード: en
• データソース種別:
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