Diyora Batuk, Sharma Alok, Mamidanna Ravikrishna, Kamat Laxmi
Department of Neurosurgery, LTM College & LTMG Hospital, Sion, Mumbai, India.
Neurol Med Chir (Tokyo). 2009 Jul;49(7):310-2. doi: 10.2176/nmc.49.310.
A 33-year-old female presented with an extremely rare case of chronic spinal subdural hematoma in the cervicothoracic region manifesting as sudden onset of flaccid paraplegia and urinary retention. She was receiving warfarin medication for an episode of superior sagittal sinus thrombosis 2 years earlier. Two months previously, she had undergone a minilaparotomy under general anesthesia following unsuccessful spinal anesthesia. Magnetic resonance imaging showed a large cervicothoracic extramedullary mass causing cord compression. However, laminectomy for excision of mass revealed a purely subdural hematoma. Her neurological deficits were partially resolved after removal of subdural hematoma.
一名33岁女性，出现了一例极为罕见的颈胸段慢性脊髓硬膜下血肿，表现为突然发生的弛缓性截瘫和尿潴留。两年前，她因上矢状窦血栓形成曾接受华法林治疗。两个月前，在脊髓麻醉失败后，她在全身麻醉下接受了小切口剖腹手术。磁共振成像显示一个巨大的颈胸段髓外肿块压迫脊髓。然而，切除肿块的椎板切除术显示为单纯的硬膜下血肿。硬膜下血肿清除后，她的神经功能缺损部分得到缓解。
