Cha Jae-Ryong, Park Ki-Bong, Ko Sang-Hun
Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Asian Spine J. 2011 Jun;5(2):130-2. doi: 10.4184/asj.2011.5.2.130. Epub 2011 May 2.
The purpose of this study was to report a case with post-traumatic spinal epidural hematomas with abnormal neurologic findings, which is uncommon. A 40-year-old man presented at our clinic after a blunt trauma caused by a traffic accident in which he was a pedestrian. After admission, abnormal neurologic symptoms developed including loss of sensation and motor function in his left lower extremity. Magnetic resonance imaging demonstrated a spinal epidural hematoma with 40% canal stenosis at the L5-S1 level. Decompression including hematoma evacuation was done. Symptoms started to be reduced 18 days after operation. He was treated conservatively with medications and all symptoms resolved completely during admission and there were no further neurologic sequelae. Post-traumatic lumbar spinal epidural hematoma with abnormal neurologic findings is an uncommon condition that may present belatedly after trauma with significant neurologic compromise.
本研究的目的是报告一例创伤后脊髓硬膜外血肿伴异常神经学表现的病例，这种情况并不常见。一名40岁男性在交通事故中作为行人遭受钝性创伤后到我们诊所就诊。入院后，出现了异常神经症状，包括左下肢感觉和运动功能丧失。磁共振成像显示L5 - S1水平存在脊髓硬膜外血肿，椎管狭窄40%。进行了包括血肿清除在内的减压手术。术后18天症状开始减轻。他接受了药物保守治疗，住院期间所有症状完全消失，且未出现进一步的神经后遗症。创伤后腰椎脊髓硬膜外血肿伴异常神经学表现是一种罕见情况，可能在创伤后延迟出现，并伴有严重的神经功能损害。
