自发性脊髓硬膜外血肿作为白血病的首发表现
Spontaneous spinal epidural hematoma as the initial presentation of leukemia.
作者信息
Nojiri Hidetoshi, Kim Sungdo, Tsuji Takaaki, Uta Soichi
机构信息
Department of Orthopaedics, Saisei Hospital, 800-1 Kashiwai-cho, Hanamigawa-ku, Chiba, Japan.
出版信息
Eur Spine J. 2009 Jul;18 Suppl 2(Suppl 2):220-3. doi: 10.1007/s00586-008-0863-y. Epub 2009 Jan 6.
Abstract
We present a case of a 55-year-old male with progressive neurological deficits that appeared dramatically. MRI detected a spinal epidural hematoma at the cervicothoracic junction and blood tests showed leukocytosis, mild anemia, and thrombocytosis. Spontaneous spinal epidural hematoma (SSEH) as the initial presentation of leukemia was diagnosed. Urgent posterior decompression was performed after 28 h from acute onset of backache, and the patient experienced remarkable improvement in neurological findings.
摘要
我们报告一例55岁男性患者，其出现了迅速进展的神经功能缺损。MRI检测到颈胸交界处有脊髓硬膜外血肿，血液检查显示白细胞增多、轻度贫血和血小板增多。诊断为自发性脊髓硬膜外血肿（SSEH）作为白血病的首发表现。在背痛急性发作28小时后进行了紧急后路减压，患者神经功能检查有显著改善。
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