Shin Yong-Il, Yang Chung-Yong, Joo Min-Cheol, Moon Seong-Keun, Park Jong-Tae, Kim Tai-Jin
Department of Rehabilitation Medicine, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center, Iksan, Korea.
NeuroRehabilitation. 2007;22(2):147-50.
Spontaneous spinal epidural hematoma (SSEH) is a rare space-occupying disease. The pathogenesis of SSEH is unclear, but anticoagulant therapy, arteriovenous malformation, coagulopathy, tumors and infection are risk factors. Ventral SSEH is even more rare, as the ventral sac is fixed firmly to the posterior longitudinal ligament. The authors report a very rare case, a 16-year-old previously healthy female who had repeated relapse of cervico-thoracic SSEH. This occurred three times in the ventral epidural space with subsequent syringomyelia, without structural abnormality and coagulopathy. The patient underwent conservative care twice, and two operations. The diagnosis was made by magnetic resonance imaging. In rapidly progressing SSEH, the clinician should make the diagnosis as early as possible to enable spinal decompression surgery.
自发性脊髓硬膜外血肿（SSEH）是一种罕见的占位性疾病。SSEH的发病机制尚不清楚，但抗凝治疗、动静脉畸形、凝血病、肿瘤和感染是危险因素。腹侧SSEH更为罕见，因为腹侧硬脊膜牢固地附着于后纵韧带。作者报告了一例非常罕见的病例，一名16岁既往健康的女性，颈胸段SSEH反复复发。这种情况在腹侧硬膜外间隙发生了三次，随后出现了脊髓空洞症，没有结构异常和凝血病。患者接受了两次保守治疗和两次手术。通过磁共振成像做出诊断。在快速进展的SSEH中，临床医生应尽早做出诊断，以便进行脊髓减压手术。
