Liu Wei-Hsiu, Hsieh Cheng-Ta, Chiang Yung-Hsiao, Chen Guann-Juh
Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan, Republic of China.
Am J Emerg Med. 2008 Mar;26(3):384.e1-2. doi: 10.1016/j.ajem.2007.05.036.
Spontaneous spinal epidural hematoma is a rare condition of spinal cord compression, and emergent decompressive surgery is strictly indicated. Early recognition, accurate diagnosis, and rapid treatment may result in decreased morbidity and improved outcome. Here, we present a case of a 50-year-old man who sustained sudden onset of severe back pain, followed by progressive weakness and numbness over bilateral lower limbs. Magnetic resonance imaging of thoracic spine demonstrated an epidural mass extending from T6 through T8, causing spinal cord compression. Emergent decompressive surgery was performed, and epidural hematoma was diagnosed postoperatively; the patient had significant improvement of neurologic deficits. The relevant literature is also reviewed.
自发性脊髓硬膜外血肿是一种罕见的脊髓压迫性疾病，严格指征为急诊减压手术。早期识别、准确诊断和快速治疗可能会降低发病率并改善预后。在此，我们报告一例50岁男性病例，该患者突发严重背痛，随后双侧下肢逐渐出现无力和麻木。胸椎磁共振成像显示硬膜外肿块从T6延伸至T8，导致脊髓受压。进行了急诊减压手术，术后诊断为硬膜外血肿；患者神经功能缺损有显著改善。同时也对相关文献进行了综述。
