Caruso R, Pesce A, Wierzbicki V, Marrocco L
Neurosurgical division, army medical center of Rome, Piazza Celimontana 50, 00184 Rome, Italy.
Neurochirurgie. 2013 Apr;59(2):105-7. doi: 10.1016/j.neuchi.2012.10.140. Epub 2013 Jan 23.
We report the case of a man of 65 who, at 20 and 37 days from surgery of C6 corpectomy, experienced two epidural hematomas at C7-D1. We assume that the pathogenic cause of this rare disease was an overlap between three main factors: the surgical aggression of the internal anterior epidural venous plexus; a possible increase of intra-thoracic pressure due to chronic obstructive pulmonary disease; and double antiplatelet drug therapy.
我们报告了一例65岁男性患者的病例,该患者在C6椎体次全切除术后20天和37天,于C7 - D1水平发生了两次硬膜外血肿。我们认为这种罕见疾病的致病原因是三个主要因素的重叠:内部前硬膜外静脉丛的手术侵袭;慢性阻塞性肺疾病导致的胸内压可能升高;以及双联抗血小板药物治疗。