非创伤性急性脊髓硬膜下血肿的自发消退
Spontaneous resolution of nontraumatic acute spinal subdural hematoma.
作者信息
Yang Na-Rae, Kim Sang Jin, Cho Yong Jae, Cho Do Sang
机构信息
Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital, Seoul, Korea.
出版信息
J Korean Neurosurg Soc. 2011 Sep;50(3):268-70. doi: 10.3340/jkns.2011.50.3.268. Epub 2011 Sep 30.
Abstract
Spinal subdural hematoma (SSDH) is an extremely uncommon condition. Causative factors include trauma, anticoagulant drug administration, hemostatic disorders, and vascular disorders such as arteriovenous malformations and lumbar punctures. Of SSDH cases, those that do not have any traumatic event can be considered cases of nontraumatic acute spinal subdural hematoma, which is known to have diverse clinical progress. Treatment typically consists of surgical decompression and cases in which the condition is relieved with conservative treatment are rarely reported. We report two nontraumatic acute spinal subdural hematoma patients who were successfully treated without surgery.
摘要
脊髓硬膜下血肿（SSDH）是一种极为罕见的病症。致病因素包括创伤、抗凝药物的使用、止血障碍以及诸如动静脉畸形和腰椎穿刺等血管疾病。在SSDH病例中，那些没有任何创伤事件的可被视为非创伤性急性脊髓硬膜下血肿病例，已知其具有多样的临床病程。治疗通常包括手术减压，而通过保守治疗病情得到缓解的病例鲜有报道。我们报告了两名非创伤性急性脊髓硬膜下血肿患者，他们未经手术即成功治愈。
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