Riaz Salman, Jiang Harry, Fox Richard, Lavoie Michel, Mahood James K
Department of Spinal Surgery, University of Alberta, Edmonton, Alberta, Canada.
J Emerg Med. 2007 Oct;33(3):241-4. doi: 10.1016/j.jemermed.2007.02.032. Epub 2007 Jul 5.
Spinal epidural hematoma is a rare clinical entity and has a varied etiology. Urgent surgical evacuation to prevent serious permanent neurologic deficits is generally indicated. We describe a case of a 52-year-old man, on oral anticoagulant therapy, who presented with Brown-Sequard syndrome due to spontaneous spinal epidural hematoma at the cervicothoracic junction. This diagnosis was initially overlooked, given the asymmetric pattern of deficit. He later underwent cervical laminectomy and had complete restoration of neurologic function.
脊髓硬膜外血肿是一种罕见的临床病症，病因多样。一般需要紧急进行手术清除血肿以防止严重的永久性神经功能缺损。我们描述了一例52岁男性患者，该患者正在接受口服抗凝治疗，因颈胸交界处自发性脊髓硬膜外血肿而出现布朗 - 塞卡尔综合征。由于神经功能缺损的不对称模式，该诊断最初被忽视。他后来接受了颈椎椎板切除术，神经功能完全恢复。
