Duffill J, Sparrow O C, Millar J, Barker C S
Department of Neurosurgery, Wessex Neurological Centre, Tremona Road, Southampton SO16 6YD, UK.
J Neurol Neurosurg Psychiatry. 2000 Dec;69(6):816-9. doi: 10.1136/jnnp.69.6.816.
The presentation, investigation, and management of four patients with spontaneous spinal epidural haematoma is presented. In each case the diagnosis was made by MRI. At the time of diagnosis spontaneous recovery had started in each patient and therefore they were all treated conservatively. In each case follow up MRI confirmed rapid reduction in the size of the haematoma and no underlying cause was demonstrated. The presentation, diagnosis, and rationale for treatment are discussed. Conservative treatment is safe in some cases of spinal epidural haematoma if early neurological recovery has started.
本文介绍了4例自发性脊髓硬膜外血肿患者的临床表现、检查及治疗情况。每例患者均通过磁共振成像(MRI)确诊。在诊断时,每例患者均已开始自发恢复,因此均接受了保守治疗。每例患者随访MRI均证实血肿大小迅速缩小,且未发现潜在病因。本文讨论了临床表现、诊断及治疗依据。对于某些自发性脊髓硬膜外血肿病例,如果早期神经功能已开始恢复,保守治疗是安全的。