转移性癌相关的长节段胸段脊髓硬膜外血肿：一例报告
Metastatic carcinoma related long segment thoracic spinal epidural hematoma: a case report.
作者信息
Lin Hung-Shih, Chen Shiu-Jau
机构信息
Department of Neurosurgery, Mackay Memorial Hospital, No. 92 Section 2 Chung Shan North Road, Taipei, Taiwan.
出版信息
Spine (Phila Pa 1976). 2009 Apr 1;34(7):E266-8. doi: 10.1097/BRS.0b013e318197164f.
STUDY DESIGN
Case report.
OBJECTIVE
To report a long segment epidural hematoma with thoracic cord compression caused by a metastatic carcinoma.
SUMMARY OF BACKGROUND DATA
To our knowledge, there have been no previous reports of spontaneous spinal epidural hematoma caused by metastatic carcinoma.
METHODS
A 60-year-old woman with back pain and progressive leg weakness suddenly developed complete paraplegia and anesthesia below T8. A thoracic spine MRI showed an epidural hematoma and metastatic tumor. We describe the clinical course, radiographic imaging, operative findings, and treatment results.
RESULTS
Despite immediate surgery, the patient failed to have any significant improvement in her neurologic symptoms. A previously unsuspected primary lung tumor was diagnosed. She died 6 months after spine surgery.
CONCLUSION
Spinal epidural hematoma can occur in association with metastatic tumors in that area.
研究设计
病例报告。
目的
报告一例由转移性癌引起的伴有胸段脊髓受压的长节段硬膜外血肿。
背景资料总结
据我们所知，此前尚无转移性癌导致自发性脊髓硬膜外血肿的相关报道。
方法
一名60岁女性，有背痛及进行性腿部无力症状，突然发展为T8以下完全性截瘫及感觉缺失。胸椎MRI显示硬膜外血肿及转移性肿瘤。我们描述了其临床病程、影像学表现、手术所见及治疗结果。
结果
尽管立即进行了手术，但患者神经症状未得到任何显著改善。诊断出一个之前未被怀疑的原发性肺癌。她在脊柱手术后6个月死亡。
结论
脊髓硬膜外血肿可与该区域的转移性肿瘤相关发生。
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