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颈椎硬膜外血肿:病例报告。

Cervical epidural hematoma: case report.

作者信息

Novak Vesna, Stefanović Ivan, Kostić Aleksandar, Radisavljević Miša, Novak Martin, Jelenković Boban, Berilažić Luka

出版信息

Srp Arh Celok Lek. 2014 Sep-Oct;142(9-10):589-91. doi: 10.2298/sarh1410589n.

Abstract

INTRODUCTION

Cervical epidural hematoma is a rare phenomenon in children. MRI scan of the cervical spine is the method of choice in establishing diagnosis and a quick evacuation of hematoma and de- compression.

CASE OUTLINE

We present a case of 11-year-old boy whose lower extremities were paralysed after a trivial injury of the cervical spine which he sustained while playing. Seven days after the injury, severe clinical symptoms appeared, and MRI of the spine showed the presence of cervical epidural hematoma.

CONCLUSION

Cervical epidural hematoma in children is very rare. Adequate neurological examination, di- agnostics and urgent surgical intervention are of paramount importance for accomplishing good results. Early and persistent rehabilitation are the condition for achieving maximal recovery.

摘要

引言

颈椎硬膜外血肿在儿童中是一种罕见现象。颈椎磁共振成像扫描是确诊的首选方法,也是迅速清除血肿和减压的方法。

病例概述

我们报告一例11岁男孩,他在玩耍时颈部轻微受伤后下肢瘫痪。受伤7天后出现严重临床症状,脊柱磁共振成像显示存在颈椎硬膜外血肿。

结论

儿童颈椎硬膜外血肿非常罕见。充分的神经学检查、诊断和紧急手术干预对于取得良好效果至关重要。早期和持续的康复是实现最大程度恢复的条件。

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