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目的:分析中晚期帕金森病(PD)患者慢性硬膜下血肿的临床特征。方法:报道临床确诊为PD合并慢性硬膜下血肿的患者2例,结合其临床症状变化及头颅CT/MRI等影像学检查,分析总结PD患者发生慢性硬膜下血肿的临床特征。结果:PD患者合并慢性硬膜下血肿常导致运动障碍等PD症状加重,手术清除血肿后症状明显改善。结论:对于运动障碍加重的中晚期PD患者,应警惕慢性硬膜下血肿发生的可能,需行头颅CT或MRI检查。
Objective: To analyze the clinical features of chronic subdural hematoma in patients with advanced Parkinson’s disease (PD). Methods: Two patients with PD complicated with chronic subdural hematoma were included in this study. The clinical features of chronic subdural hematoma in patients with PD were analyzed and analyzed in combination with their clinical symptoms and CT / MRI imaging. Results: PD patients with chronic subdural hematoma often lead to PD symptoms such as dyskinesia aggravated, and the symptoms were significantly improved after the operation of removing hematoma. CONCLUSIONS: For advanced PD patients with dyskinesia, we should be alert to the possibility of chronic subdural hematoma and require cranial CT or MRI.