轮胎爆炸伤致脊髓硬膜外血肿：一例报告
Spinal Epidural Hematoma Due To Tyre-Blast Injury: A Case Report.
作者信息
Boyaci Mehmet G, Aslan Adem, Tünay Kamil, Karademir Mustafa, Aydoğmuş Arda
机构信息
Faculty of Medicine, Department of Neurosurgery, Afyon Kocatepe University, Afyonkarahisar, Turkey.
Faculty of Medicine, Department of Emergency Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey.
出版信息
Spine (Phila Pa 1976). 2017 Jan 15;42(2):E125-E127. doi: 10.1097/BRS.0000000000001727.
STUDY DESIGN
A retrospective case report.
OBJECTIVE
The objective of this article is to report a spinal epidural hematoma (SEH) due to shock wave.
SUMMARY OF BACKGROUND DATA
SEH is an infrequent condition. Most of SEH's are spontaneous. We have reported an SEH traumatic case without bone lesions due to exploding truck tire. A different category of blast injuries is the one related with exploding tyres. Shock waves are the main mechanism that is responsible for blast injuries. We are presenting the first report of acute SEH due to shock wave.
METHODS
A 33-year-old man was brought to the emergency department with complaints of weakness and numbness of the upper extremities. There was an epidural high-signal density without osseous lesion in computerized tomography from the level of C2 to C5, and there was a T2-weighted hyperintense lesion in magnetic resonance imaging from the level of C2 to C5 with compression of the spinal cord the anterior and posterior which proved to be an SEH.
RESULTS
The patient was discharged from the hospital with complete neurologic recovery.
CONCLUSION
SEH should be considered possible in the blast injury. SEH condition carries a significant risk of morbidity and mortality without early recognition and rapid management.
LEVEL OF EVIDENCE
研究设计
一项回顾性病例报告。
目的
本文旨在报告一例因冲击波导致的脊髓硬膜外血肿（SEH）。
背景资料总结
SEH并不常见。大多数SEH是自发性的。我们曾报告过一例因卡车轮胎爆炸导致的无骨损伤的外伤性SEH病例。另一类爆炸伤与轮胎爆炸有关。冲击波是导致爆炸伤的主要机制。我们现报告首例因冲击波导致的急性SEH。
方法
一名33岁男性因上肢无力和麻木被送至急诊科。计算机断层扫描显示从C2至C5水平存在硬膜外高信号密度且无骨质病变，磁共振成像显示从C2至C5水平有T2加权高信号病变，脊髓前后受压，经证实为SEH。
结果
患者出院时神经功能完全恢复。
结论
在爆炸伤中应考虑到SEH的可能性。若不及早识别并迅速处理，SEH会带来显著的发病和死亡风险。
证据级别
5级。
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