自发性脊柱硬膜外血肿不进行手术能安全处理吗？四例报告。
Can spontaneous spinal epidural haematoma be managed safely without operation? A report of four cases.
作者信息
Duffill J, Sparrow O C, Millar J, Barker C S
机构信息
Department of Neurosurgery, Wessex Neurological Centre, Tremona Road, Southampton SO16 6YD, UK.
出版信息
J Neurol Neurosurg Psychiatry. 2000 Dec;69(6):816-9. doi: 10.1136/jnnp.69.6.816.
Abstract
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.
摘要
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。
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