Large Epidural Hematoma after Intracranial Pressure Monitor Insertion: A Case Report

經顱內壓監視器置入術後硬腦膜外血腫擴大：一病例報告

10.30035/TCCM.201003.0010

黃志達(Chih-Ta Huang)；張坤權(Kun-Chuan Chang)

硬腦膜外血腫 ； 顱內壓監視器 ； Epidural hematoma ； Intracranial pressure monitor

重症醫學雜誌

11卷1期（2010 / 03 / 01）

64 - 67

英文

一位65歲頭部外傷合併硬腦膜外血腫之女性病患。她在騎腳踏車時被車子撞到，有起始意識喪失的現象。起初的電腦斷層顯示爲不須立即手術之硬腦膜外血腫且無明顯的顱骨骨折。因爲中度頭部外傷（昏迷指數爲9），顱內壓監視器置入是需要的。不幸的是，在顱內壓監視器置入後發現硬腦膜外血腫擴大。在緊急手術後，病人狀況穩定，並且在受傷後近一個月後出院，並無明顯神經學上的缺損。

A 65-year-old female with head injury presented with traumatic epidural hematoma. She was hit by a car while riding a bicycle and initially suffered loss of consciousness. Brain computed tomography (CT) showed epidural hematoma (EDH) with no significant bony fracture. The moderate head injury (GCS score 9) necessitated an intra-cranial pressure (ICP) monitor insertion, which revealed an enlarged EDH that needed emergency surgery. The patient's condition became stable afterwards and she was discharged about one month after the injury without any significant neurologic deficit.