小脑幕硬膜下血肿的.pptVIP

小脑幕硬膜下血肿Subdural Hematoma at Tentorium of Cerebellum yangtang2000@ Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 病例分析 23床，中年男性，“晕厥”样起病，是否跌伤头部不详。后出现进行性加重的顶部头痛。神经科查体可疑视乳头水肿。CT示右侧右侧小脑半球与颞骨岩部之间条形高密度影，边缘光滑，环池无高密度改变。 初步诊断：蛛网膜下腔出血？横窦和乙状窦血栓形成？ 省人民医院神经外科诊断：小脑幕硬膜下血肿 病灶示意图（非该患者真实CT） 病灶 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 前言 硬膜下血肿是颅脑外伤中最常见的颅内血肿之一，大脑凸面的硬膜下血肿常见（见下图）。 位于大脑镰、小脑幕等特殊部位硬膜下血肿相对较少，因解剖结构特殊，影像学表现也比较特殊，易误诊 。 大脑凸面各期硬膜下血肿 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 应用解剖 硬脑膜为一坚韧的双层膜，外层实际上是颅骨内面的骨膜， 内层在一定部位折叠并向颅内延伸而形成大脑廉和小脑幕。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 应用解剖 小脑幕呈帐篷状将小脑与大脑半球枕叶分开，三者结合紧密。 大脑镰 小脑幕 小脑幕切迹 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 应用解剖 大脑镰 小脑幕 帐篷状小脑幕呈将小脑与大脑半球枕叶分开 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 应用解剖 大 脑 镰 去除一侧小脑幕和 小脑显示后颅凹 保留一侧 小脑幕 小脑幕 横 窦 小脑幕上是枕叶、幕下是小脑 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 应用解剖 小脑幕后面附着于枕骨横沟，两侧附于颞骨岩部，上面正中与大脑镰相续，两侧前内缘形成弧状的小脑幕切迹围绕中脑。 枕骨横沟 横窦 颞骨岩部 小脑幕切迹 小脑幕切迹 中 脑 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 应用解剖 去除小脑幕 显示小脑 枕叶未去除 去除小脑幕 显示小脑 未去除小脑幕 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 潜在的腔隙——硬膜下腔（硬膜和蛛网膜之间） 皮肤 颅骨 大脑 硬膜 蛛网膜 软脑膜 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 小脑幕断层解剖 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 小脑幕断层解剖 Evaluation only. Created with Aspose.Slides for .NET 3.5 Clien