Department of Orthopaedics and Traumatology, Saint-Roch Hospital, Nice, France.
Eur Spine J. 1993 Mar;1(4):244-8. doi: 10.1007/BF00298368.
We report the case of a patient suffering from spinal epidural haematoma and thoracic spinal fracture, and from ankylosing spondylitis. Fourteen cases of spinal epidural haematoma in association with ankylosing spondylitis have been reported in the literature, 12 of them at a cervical level. Spinal epidural haematoma found in patients suffering from ankylosing spondylitis share the same clinical picture as other haematomas, the notion of time being the main feature. Serious neurological complications caused the death of five patients. The case we report is singular for its thoracic localization and two attacks of total paralysis both followed by spontaneous and complete recovery. Today, MRI is the best method to reach a clear and reliable diagnosis. Widespread use of MRI will certainly increase the number of diagnoses made. Our patient underwent operation including osteosynthesis using Cotrel-Dubousset instrumentation. This enabled him to resume his professional activities only 30 days after his accident.
我们报告了一例患有脊髓硬膜外血肿和胸段脊柱骨折以及强直性脊柱炎的患者。文献中已有 14 例与强直性脊柱炎相关的脊髓硬膜外血肿病例，其中 12 例发生在颈椎水平。患有强直性脊柱炎的患者的脊髓硬膜外血肿与其他血肿具有相同的临床表现，时间是主要特征。严重的神经并发症导致 5 名患者死亡。我们报告的病例在其胸段定位和两次完全瘫痪发作方面是独特的，两次发作均自发性完全恢复。如今，MRI 是获得明确可靠诊断的最佳方法。MRI 的广泛应用肯定会增加诊断数量。我们的患者接受了手术治疗，包括 Cotrel-Dubousset 器械的骨合成术。这使他在事故后仅 30 天就恢复了专业活动。
