電子期刊
台灣家庭醫學雜誌
個案報告(Case Report)
A Case of Chronic Subdural Hematoma Detected in an Asymptomatic Patient during Health Checkup
電腦斷層、健康檢查、外傷史、慢性硬腦膜下血腫、hronic subdural hematoma、computed tomography、heath checkup、mild trauma
洪浚善1
、張富勝1
、陳國寶1,2
、李育慶1
彰化秀傳紀念醫院家庭醫學科1
、彰化秀傳紀念醫院健康管理中心2
A Case of Chronic Subdural Hematoma Detected in an
Asymptomatic Patient during Health Checkup
Chun-Shan Hung1, Fu-Sheng Chang1, Kuo-Pao Chen1,2 and Yu-Ching Li1
Asymptomatic Patient during Health Checkup
Chun-Shan Hung1, Fu-Sheng Chang1, Kuo-Pao Chen1,2 and Yu-Ching Li1
This case report highlights the development of bilateral chronic subdural hematoma (SDH) following minor trauma, which was asymptomatic upon presentation. A 68-year-old female patient presented to the preventive medicine center for her annual health examination. History taking revealed a minor head trauma at the right temporal four weeks prior. No discomfort or neurological deficit were noted following the trauma. Physical and neurological examinations showed normal results. A head CT was performed, revealing the presence of bilateral chronic SDH. This case underscores the importance of considering the possibility of chronic subdural hematoma even in the absence of symptoms or neurological deficits. Early detection and appropriate management are essential for ensuring optimal patient outcomes.
(Taiwan J Fam Med 2023; 33: 215-220) DOI: 10.53106/168232812023123304004
Key words: chronic subdural hematoma, computed tomography, heath checkup,
mild trauma
1Department of Family Medicine, Show Chwan Memorial Hospital, Changhua, Taiwan.
2Executive Health Screening Center, Show Chwan Memorial Hospital, Changhua, Taiwan.
Received: May 15, 2023; Revised: June 12, 2023; Accepted: August 25, 2023.
Corresponding author: Yu-Ching Li: 542, Sec. 1 Chung-Shan Rd., Changhua, Taiwan. E-mail: ycli1215@gmail.com
於例行性健康檢查發現無症狀硬腦膜下血腫之案例報告
洪浚善1 張富勝1 陳國寶1,2 李育慶1
洪浚善1 張富勝1 陳國寶1,2 李育慶1
本案例為68歲女性，日前至本院預防醫學中心進行年度例行性健康檢查。病史詢問時告知四週前有騎機車自摔，並有撞擊到右側顳骨處。於車禍後並無不適或神經功能缺損。理學檢查及神經學檢查皆無異常。後續於健康檢查中的腦部電腦斷層發現雙側慢性硬腦膜下血腫。此案例提醒基層醫師，若病人有頭部外傷史，應小心鑑別診斷慢性硬腦膜下血腫，且有可能以無症狀做為表現。
(台灣家醫誌2023; 33: 215-220) DOI: 10.53106/168232812023123304004
關鍵詞：電腦斷層、健康檢查、外傷史、慢性硬腦膜下血腫
1彰化秀傳紀念醫院家庭醫學科
2彰化秀傳紀念醫院健康管理中心
受理日期：112年5月15日 修改日期：112年6月12日 同意刊登：112年8月25日
網站更新日期：114.04.25
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