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作者对10例自发性或高血压性后颞叶血肿的CT和临床表现作了分析。男4例,女6例。年龄45～49岁4例,50～58岁6例。血压正常4例,高血压6例。均在神经症状出现72小时内做平扫和增强扫描。16周内CT随访,临床随访6～18个月。7例表现为同侧突然耳后搏动性头痛,伴恶心、呕吐等。5例后颞叶血肿位于右侧,初始头痛,继之迅速神志错乱,其中2例接着有全身性癫痫发作,
The authors of 10 cases of spontaneous or hypertensive posterior temporal hematoma CT and clinical manifestations were analyzed. 4 males and 6 females. 4 cases of 45 to 49 years old, 6 cases of 50 to 58 years old. Normal blood pressure in 4 cases, 6 cases of hypertension. All patients underwent plain scan and enhanced scan within 72 hours after the appearance of neurological symptoms. CT follow-up within 16 weeks, clinical follow-up of 6 to 18 months. 7 cases showed ipsilateral sudden posterior pulsatile headache, with nausea, vomiting and so on. 5 cases of temporal lobe hematoma located on the right side, the initial headache, followed by rapid delirium, of which 2 cases followed by systemic seizures,