腰椎脊髓造影术导致的脊髓蛛网膜下腔血肿。
Spinal subarachnoid hematoma resulting from lumbar myelography.
作者信息
Sather M D, Gibson M D, Treves J S
机构信息
Section of Neurosurgery, University of Nebraska Medical Center, Omaha, Neb, USA.
出版信息
AJNR Am J Neuroradiol. 2007 Feb;28(2):220-1.
Abstract
We describe a rare complication of myelography. A subarachnoid filling defect was apparent on the postmyelographic CT but not on conventional myelography. MR imaging performed later showed a spinal subarachnoid hematoma (SSAH), extending from L3 to L5. Lumbar puncture may rarely be a cause for SSAH and is more common in patients with coagulopathy. Significant back pain, paresis, radiculopathy, and even altered consciousness or meningeal signs may herald an SSAH.
摘要
我们描述了一种脊髓造影罕见的并发症。脊髓造影后CT显示蛛网膜下腔充盈缺损，而传统脊髓造影未见此表现。随后进行的磁共振成像显示从L3至L5的脊髓蛛网膜下腔血肿（SSAH）。腰椎穿刺很少会导致SSAH，在凝血功能障碍患者中更常见。严重背痛、轻瘫、神经根病，甚至意识改变或脑膜刺激征可能预示着SSAH。
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