老年者外傷性脳内血腫とTalk and Deteriorate

Elderly Patients with Traumatic Intracerebral Hematoma Who Talk and Deteriorate

I．はじめに

　Talk and deteriorateの経過をとった老年者外傷性脳内血腫2例（遅発性脳内血腫と短時間の血腫拡大）を報告し，臨床的特徴とrepeated computed tomography（CT）の必要性について検討を加えた．

Two closed head injury patients who talked before their conditions deteriorated to a Glasgow coma scale score of 8 or less were identified. A 68-year-old man died with delayed traumatic intracerebral hematoma and a 63-year-old man was left vegetative with in-tracerebral hematoma after surgical decompression.

Intracerebral hematomas in the elderly are signifi-cantly more common in the "talk and deteriorate" group, and rapid diagnosis by repeated CT scan and decompression are the most important factor in salvag-ing these patients.