Labeodan O A
Department of Neurosurgery, Johannesburg Hospital, Johannesburg, Republic of South Africa.
Emerg Med J. 2005 Aug;22(8):606-7. doi: 10.1136/emj.2003.007153.
Spinal epidural haematoma is increasingly picked up using magnetic resonance imaging, especially following trauma. The presentation can be varied especially if there is a trivial history of trauma. Spontaneous subarachnoid haemorrhage can occur in spinal haematoma as a rare and unusual presentation and can be easily misdiagnosed. The key to early diagnosis is a strong suspicion and careful repeated neurological examination. We present an illustrative case.
脊髓硬膜外血肿越来越多地通过磁共振成像被发现,尤其是在创伤后。其表现可能多种多样,特别是如果有轻微的创伤史。脊髓血肿中可发生自发性蛛网膜下腔出血,这是一种罕见且不寻常的表现,很容易被误诊。早期诊断的关键是高度怀疑并仔细反复进行神经系统检查。我们展示一个典型病例。