Perez Juan C, Crespo Myriam, Velez Candido, Caceres Jorge
Department of Physical Medicine and Rehabilitation, University District Hospital, University of Puerto Rico School of Medicine , San Juan, Puerto Rico.
Spinal Cord Ser Cases. 2016 Jul 7;2:16007. doi: 10.1038/scsandc.2016.7. eCollection 2016.
Spontaneous spinal epidural hematoma (SSEH) is a rare cause of spinal cord compression. Symptoms may include sudden-onset axial pain followed by neurologic involvement including weakness, numbness and incontinence. Here we report the case of a patient followed prospectively after surgical intervention following SSEH and recovery following inpatient rehabilitation. This patient presented with right hemiplegia, neurogenic bladder and bowel with autonomic dysfunction. the patient with significant gains in Functional Independence Measure scale that improved from 15 on admission to 35 1 month following surgery. This case suggests that treating this type of patients requires hospitals specialized in spinal cord injury.
自发性脊髓硬膜外血肿（SSEH）是脊髓压迫的罕见原因。症状可能包括突发的轴向疼痛，随后出现神经功能障碍，包括无力、麻木和失禁。在此，我们报告一例SSEH手术后进行前瞻性随访并在住院康复后恢复的患者病例。该患者表现为右半身瘫痪、神经源性膀胱和肠道功能障碍以及自主神经功能紊乱。患者在功能独立性测量量表上有显著改善，从入院时的15分提高到术后1个月的35分。该病例表明，治疗这类患者需要脊髓损伤专科医院。
