Pau A, Brambilla M, Cossu M, Francaviglia N, Siccardi D, Silvestro C
Neurosurgical Department, University of Genoa, Italy.
Neurochirurgia (Stuttg). 1991 Sep;34(5):151-3. doi: 10.1055/s-2008-1052077.
A case of spinal subarachnoid hematoma at T3-T7 level is reported in a 60-year-old hunter, who developed progressive spinal cord impairment after receiving the recoil of his shotgun. Both clinical and neuroradiological investigations, including the selective spinal angiography, failed to demonstrate the origin of the bleeding. The combination of an apparently trivial spinal trauma with temporary increase of the intrathoracic pressure might be considered as possible etiologic factor.
本文报告了一例60岁猎人发生的T3 - T7水平脊髓蛛网膜下腔血肿病例,该患者在猎枪后坐力作用后出现进行性脊髓损伤。包括选择性脊髓血管造影在内的临床和神经放射学检查均未能显示出血来源。看似轻微的脊柱创伤与胸内压力暂时升高的组合可能被视为可能的病因。