La Rosa G, d'Avella D, Conti A, Cardali S, La Torre D, Cacciola F, Longo M, Tomasello F
Department of Neurosurgery, University of Messina School of Medicine, Italy.
J Neurosurg. 1999 Jul;91(1 Suppl):128-32. doi: 10.3171/spi.1999.91.1.0128.
Spinal epidural hematomas (SEHs) are uncommon complications of traumatic injury to the spine. Emergency surgical evacuation is the standard treatment. Although it is recognized in the literature, the possibility of nonsurgical treatment of traumatic SEH is far from being codified. The authors report excellent outcomes in four conservatively managed patients who had sustained a severe spine injury with fracture of the lumbar vertebral body and in whom traumatic SEHs were diagnosed by magnetic resonance imaging. Although in the authors' experience a good spontaneous outcome in this subgroup of minimally symptomatic patients harboring moderate-sized SEHs has been achieved, further studies are necessary to understand the real spectrum of nonsurgical treatment of such lesions.
脊柱硬膜外血肿（SEH）是脊柱创伤性损伤的罕见并发症。紧急手术清除是标准治疗方法。尽管文献中有相关记载，但创伤性SEH非手术治疗的可能性远未形成规范。作者报告了4例经保守治疗的患者取得了良好的效果，这些患者脊柱严重损伤，腰椎椎体骨折，通过磁共振成像诊断为创伤性SEH。尽管根据作者的经验，对于这一患有中等大小SEH且症状轻微的亚组患者已取得了良好的自发转归，但仍需进一步研究以了解此类病变非手术治疗的实际范围。
