Case1:Braintrauma:epiduralhematoma
A65-year-oldright-handedmanwastransferredtothehospitalapproximately16hoursaftersufferingheadtraumawithlossofconsciousnessinamotor-vechicleaccident.
Examination.Generalexaminationwasremarkableforaleftparientalscalplaceration,lefthemotympanum,andrightperiorbitalhemaroma.Funduscopicexaminationwaswithinnormallimits.neuroligicalwxaminationrevealedanalertpatientorientedtotimeandpersoenbutnottoplace.Amixedaphasiawaspresentwithexpressiveandconductiveelements.sensoryexaminationwasnormal.therewasleft-sidedweakness;however,thepatientdidhaveapositiveBabinskisignontheleft.Theremainderoftheneurologicalwxaminationwasnormal.Skullfilmsrevealedaleftparietallinearskullfarcture.
course.Thepatientwasadmittedtothehospitalforobservation,andoverthenext24hourshadmodestbutdefiniteimprovementinhisaphasia.ACTscanwasobtainedapproximately24hoursafterinjury,andthisrevealsaleftepiduralhematomawitha3-mmshiftofmiddlestructuresfromrlefttoright,andeffacementoftheleftlateteralventricle.Becausethepatienthadbeenimprovingneurologically,surgerywaswithhelependinganyevidenceofneurologically,surgerywaswithhelependinganyevidenceofneurologicaldeterioration.BYthe2ndday,thepatienthad南京治疗白癜风专科医院哪家好河南最好的白癜风医院
