急性自发性胸腰段硬膜外血肿所致双下肢轻瘫的自发缓解

Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma.

作者信息

Gundag M, Seyithanoglu M H, Dogan K, Kitis S, Ozkan N

机构信息

Department of Neurosurgery, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.

出版信息

Iran Red Crescent Med J. 2012 Jan;14(1):45-8. Epub 2012 Jan 1.

PMID:22737554

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3372017/

Abstract

Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered as an indication for emergent surgical decompression. We aimed to investigate a patient with a SSEH that completely resolved clinically and radiographically, without surgical treatment. The patient presented three days after the sudden onset of back pain, numbness, and weakness. Magnetic Resonance Imaging (MRI) revealed a posterior thoracolumbar epidural hematoma extending from the level of T10 to L2 with significant cord compression. Decompression was recommended but he refused surgery and was managed conservatively. One month later, weakness totally recovered and hematoma was absent on MRI.

摘要

有症状的自发性脊髓硬膜外血肿（SSEH）是导致脊髓受压的一种罕见原因，通常被视为紧急手术减压的指征。我们旨在研究一名SSEH患者，该患者在未经手术治疗的情况下，临床和影像学表现均完全缓解。该患者在突发背痛、麻木和无力三天后就诊。磁共振成像（MRI）显示胸腰段硬膜外血肿位于后方，从T10水平延伸至L2，伴有明显的脊髓受压。建议进行减压治疗，但患者拒绝手术，采取保守治疗。一个月后，患者的无力症状完全恢复，MRI显示血肿消失。