Department of Neurosurgery, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.
J Clin Neurosci. 2010 Mar;17(3):404-5. doi: 10.1016/j.jocn.2009.02.030. Epub 2010 Jan 13.
Delayed presentation of spinal epidural haematoma post-trauma is rare, and portends a significant management challenge for clinicians. A 57-year-old female presented 1 week after motor vehicle accident with a 24-hour history of progressive interscapular pain and right-sided hemiparesis. Urgent spinal MRI demonstrated an extensive epidural haematoma extending from C3 to T2. The patient made an excellent post-operative neurological recovery. The importance of clinical suspicion is highlighted, especially in patients presenting with unilateral neurological deficits, as well as expeditious spinal radiography (including CT scans) and emergent surgical treatment in achieving positive clinical outcomes.
创伤后脊柱硬膜外血肿的延迟表现较为罕见，给临床医生的治疗带来了重大挑战。一位 57 岁女性因机动车事故后 1 周出现进行性肩胛间疼痛和右侧偏瘫，伴 24 小时病史。紧急脊柱 MRI 显示从 C3 到 T2 的广泛硬膜外血肿。患者术后神经恢复良好。强调了临床怀疑的重要性，特别是在出现单侧神经功能缺损的患者中，以及在实现积极临床转归方面，快速进行脊柱 X 线摄影（包括 CT 扫描）和紧急手术治疗。
