Han Young-Min, Kwak Ho-Sung, Jin Gong-Young, Chung Gyung-Ho, Song Kyung-Jin
Department of Radiology, Chonbuk National University Medical School, Keumam Dong, Chonju, South Korea.
Cardiovasc Intervent Radiol. 2006 May-Jun;29(3):450-3. doi: 10.1007/s00270-004-0133-2.
A 38-year-old male was initially admitted for left leg swelling. He was diagnosed as having deep vein thrombosis (DVT) in the left leg and a pulmonary thromboembolism by contrast-enhanced chest computed tomography (CT) with delayed lower extremity CT. The DVT was treated by thrombolysis and a venous stent. Four hours later, he complained of severe back pain and a sensation of separation of his body and lower extremities; he experienced paraplegia early in the morning of the following day. Magnetic resonance imaging showed a spinal epidural hematoma between T11 and L2, which decompressed following surgery. We, therefore, report a case of a spinal epidural hematoma after thrombolysis in a case of DVT with a pulmonary thromboembolism.
一名38岁男性最初因左腿肿胀入院。通过胸部增强计算机断层扫描(CT)及下肢延迟CT检查,他被诊断为左腿深静脉血栓形成(DVT)和肺血栓栓塞。DVT通过溶栓和静脉支架治疗。四小时后,他主诉严重背痛以及身体与下肢分离感;次日清晨出现截瘫。磁共振成像显示胸11至腰2水平脊髓硬膜外血肿,术后血肿得以减压。因此,我们报告一例DVT合并肺血栓栓塞溶栓后发生脊髓硬膜外血肿的病例。