Lee J-S, Yu C-Y, Huang K-C, Lin H-W, Huang C-C, Chen H-H
1Division of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan.
Spinal Cord. 2007 Aug;45(8):586-90. doi: 10.1038/sj.sc.3101976. Epub 2006 Oct 3.
A case report and a review of literature.
To present the first youngest infant of a 4-month-old boy with spontaneous spinal epidural hematoma in cervicothoracic spine.
National Cheng Kung University Hospital, Tainan, Taiwan.
A 4-month-old boy who initially presented with irritable crying, neck stiffness, and fever followed by progressive quadriparesis. Magnetic resonance imaging (MRI) of the spine disclosed a space-occupying lesion on the right posterior-lateral aspect of the cervicothoracic spinal canal. Laminectomy with reconstruction in situ from C4 to T4 was performed 5 days after the onset of symptoms.
The boy had gradual improvement of his neurological status. Follow-up visit 1 year later, the infant's growth and development was within normal limit without any neurological deficits; his repeat MRI showed complete fusion of each implanted lamina and well expansion of the spinal cord.
Prompt surgical decompression is valuable, irrespective of the time interval between symptom onset and operation in infant.
病例报告及文献综述。
介绍首例4个月大患有颈胸段自发性脊髓硬膜外血肿的男婴。
台湾台南国立成功大学医院。
一名4个月大男婴，最初表现为易激惹哭闹、颈部僵硬和发热，随后逐渐出现四肢瘫。脊柱磁共振成像（MRI）显示颈胸段椎管右后外侧有占位性病变。症状出现5天后行C4至T4椎板切除原位重建术。
该男婴神经功能逐渐改善。1年后随访，婴儿生长发育正常，无任何神经功能缺损；复查MRI显示各植入椎板完全融合，脊髓充分扩张。
对于婴儿，无论症状出现至手术的时间间隔如何，及时手术减压均有价值。
