於例行性健康檢查發現無症狀硬腦膜下血腫之案例報告

A Case of Chronic Subdural Hematoma Detected in an Asymptomatic Patient during Health Checkup

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。

 

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.