神経外傷の皮膚所見

The Skin Findings Associated with Neurotrauma

頭部外傷は日常的に遭遇する病態だが，しばしば重大な病態が隠されている。本論では小児虐待，頭蓋底骨折，バトル徴候，パンダの目サイン，開放性頭部外傷，穿通創，外傷性浅側頭動脈瘤，外傷性頸動脈海綿静脈洞瘻，脂肪塞栓の症例の皮膚所見を提示した。診察時には，皮膚を観察し記録を行うこと，受傷に至った詳細な病歴を聴取することが必要である。皮膚所見，病歴，画像検査を総合して診断を行うことが重要である。

Abstract

Head trauma is a common condition, but often, serious pathological conditions associated with it are hidden. Skin findings in child abuse cases, such as skull base fracture, battle signs, raccoon eye, open head injury, penetrating wounds, traumatic aneurysm of the superficial temporal artery, traumatic carotid cavernous sinus fistula, and fat embolism have been presented in this paper. It is necessary to observe and record skin findings at the time of consultation and to listen to the detailed medical history that resulted in such an injury. It is important to comprehensively diagnose skin findings through medical history, and image inspection.