Ahn Sang-Soak, Song Young-Jin
Department of Neurosurgery, College of Medicine, Dong-A University, Busan, Korea.
J Korean Neurosurg Soc. 2010 May;47(5):381-4. doi: 10.3340/jkns.2010.47.5.381. Epub 2010 May 31.
Spinal epidural hematoma (SEH) causing acute myelopathy is rare. The usual clinical presentation of a SEH is sudden severe neck or back pain that progresses toward paraparesis or quadriparesis, depending on the level of the lesion. Recent studies have shown that early decompressive surgery is very important for patient's recovery. We experienced five patients of cervico-thoracic epidural hematomas associated with neurologic deficits that were treated successfully with surgical intervention.
导致急性脊髓病的脊髓硬膜外血肿(SEH)较为罕见。SEH的常见临床表现是突发的严重颈部或背部疼痛,随后根据病变水平发展为截瘫或四肢瘫。最近的研究表明,早期减压手术对患者的恢复非常重要。我们收治了5例伴有神经功能缺损的颈胸段硬膜外血肿患者,经手术干预后均成功治愈。