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慢性硬膜下血肿(CSH)可有多样化的神经症状,然呈现一过性神经学缺损或TIA样发作者不多,仅表现为单纯的发作性意识丧失者尚无报导。作者报导1例80岁女性CSH患者,表现为反复发作的一过性意识丧失。该患者70岁时有高血压病,一直服药治疗。84年7、8月间曾有发作性下肢无力3次,每次2～3秒即消失,9月17日外出又有类似发作1次,回家后突然意识丧失达5分钟,醒后一切如常,无后遗症。2天后白天左额有发作性头痛及发烧感3次,夜间突然意识丧失3分钟而入院。体检仅见右上下肢肌力稍差。EEG基本节律为9～10C/Sα波,伴少量5～7C/Sθ波(左略多)。CT见左额顶穹窿部呈凸透镜样低密度区,考虑为脑萎缩引起
Chronic subdural hematomas (CSH) can have a variety of neurological symptoms, however, presenting with a transient neurological deficit or a small number of TIA-like seizures, with no evidence of episodic loss of consciousness. The authors report a case of 80-year-old female CSH patients, manifested as recurrent transient loss of consciousness. The patient has hypertension at age 70 and has been taking medication. 84 in August and August had episodes of lower extremity weakness 3 times, each 2 to 3 seconds to disappear, September 17 out of a similar attack 1 times, suddenly lost consciousness after returning home for 5 minutes, wake up everything As usual, no sequelae. 2 days after the first day of the left forehead have episodes of headache and fever 3 times, sudden loss of consciousness at night for 3 minutes and admitted to hospital. Physical examination only see the right upper limb muscle strength is slightly worse. EEG basic rhythm 9 ~ 10C / Sα wave, with a small amount of 5 ~ 7C / Sθ wave (left slightly more). CT see the left frontal fornix was lenticular-like low-density area, considered as atrophy caused