Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Uijeongbu, Korea.
J Neurosurg Spine. 2012 Feb;16(2):127-9. doi: 10.3171/2011.10.SPINE11236. Epub 2011 Nov 25.
Extracorporeal shock wave lithotripsy (ESWL) is a well-established, safe, and effective therapeutic alternative to surgical treatment for urolithiasis. Complications of ESWL do occur in a small number of patients, and when they do, they typically involve the kidney. Formation of a spinal epidural hematoma is an extremely rare complication after ESWL for kidney stone removal. The authors present the case of a 61-year-old man in whom a large spinal epidural hematoma developed after ESWL. They discuss the possible pathogenic mechanism of such a complication.
体外冲击波碎石术 (ESWL) 是一种成熟、安全且有效的治疗尿路结石的替代手术方法。在少数患者中确实会发生 ESWL 的并发症,而当它们发生时,通常涉及肾脏。在接受 ESWL 治疗肾结石后形成脊髓硬膜外血肿是一种极其罕见的并发症。作者报告了一例 61 岁男性患者,在接受 ESWL 后出现了大的脊髓硬膜外血肿。他们讨论了这种并发症的可能发病机制。