Mandour Cherkaoui, El Mostarchid Brahim
Department of Neurosurgery, Military Hospital Mohammed V, Rabat, Morocco.
Maedica (Bucur). 2016 Mar;11(1):87-88.
Only a few publications regarding traumatic hematoma in spinal ligament have been reported compared to spontaneous spinal hematoma. This type of bleeding is classically associated with bone fracture and/or the presence of haemostasis abnormalities. However, in our case the patient presented with traumatic dorsal hematoma in spinal ligament without any associated disc or bone lesion, and no crasis problems. We report a case of a 50-year-old man, who was a victim of a car accident. Neurological examination revealed paraplegia and hypoesthesia below the T4 sensory dermatome. Spinal magnetic resonance imaging revealed an acute hematoma in spinal ligament extending from T5 to T7with spinal cord compression. The patient was not operated; the evolution was marked by spontaneous resorption of hematoma with the gradual recovery of the neurological deficit using functional reeducation.
与自发性脊髓血肿相比，关于脊髓韧带创伤性血肿的报道仅有少数几篇。这种出血典型地与骨折和/或止血异常有关。然而，在我们的病例中，患者表现为脊髓韧带创伤性背部血肿，没有任何相关的椎间盘或骨病变，也没有血液凝固问题。我们报告一例50岁男性，他是一起车祸的受害者。神经学检查发现T4感觉皮节以下截瘫和感觉减退。脊髓磁共振成像显示脊髓韧带急性血肿，从T5延伸至T7，伴有脊髓受压。患者未接受手术；病情发展的特点是血肿自发吸收，通过功能康复神经功能缺损逐渐恢复。
