中间型β地中海贫血患者的脊柱硬膜外髓外造血
Spinal epidural extramedullary haematopoiesis in β-thalassaemia intermedia.
作者信息
Wong Kin Hoi, Li Allen, Lui Tun Hing, Sit Yan Kit
机构信息
Department of Radiology, North District Hospital, Hong Kong, Hong Kong.
出版信息
BMJ Case Rep. 2014 Jan 3;2014:bcr2013201534. doi: 10.1136/bcr-2013-201534.
Abstract
A 22-year-old man known to have β-thalassaemia intermedia since childhood presented with bilateral lower limb weakness after spinal anaesthesia for an elective minor operation of his left leg. MRI and CT scans were performed to rule out acute epidural haematoma; coincidental imaging features of marrow hyperplasia and spinal epidural extramedullary haematopoiesis were found. This article will present and discuss the imaging features, differential diagnosis, management and literature review of the rare occurrence of extramedullary haematopoiesis in the spinal epidural space.
摘要
一名自童年起就患有中间型β地中海贫血的22岁男性，在接受左腿择期小手术的脊髓麻醉后出现双侧下肢无力。进行了MRI和CT扫描以排除急性硬膜外血肿；发现了骨髓增生和脊髓硬膜外髓外造血的巧合影像学特征。本文将介绍并讨论脊髓硬膜外间隙罕见的髓外造血的影像学特征、鉴别诊断、管理及文献综述。
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