Tomarken J L
Am J Emerg Med. 1987 Mar;5(2):123-5. doi: 10.1016/0735-6757(87)90089-1.
Spinal subdural hematoma (SSH) is an uncommon entity. There is a higher incidence among patients with a bleeding diathesis and among those with a bleeding diathesis having a lumbar puncture. The case reported here is of a 65-year-old woman on oral anticoagulants presenting with atypical symptoms who developed SSH over a six-hour period. Emergency investigation and treatment are required because recovery is inversely related to the length of time of spinal cord compression. A review of the literature revealed 37 previously reported cases of nonmajor traumatic SSH.
脊髓硬膜下血肿(SSH)是一种罕见的病症。在有出血倾向的患者以及有出血倾向且进行腰椎穿刺的患者中发病率较高。本文报道的病例是一名65岁正在服用口服抗凝剂的女性,她出现非典型症状,并在6小时内发展为脊髓硬膜下血肿。由于恢复情况与脊髓受压时间长短呈负相关,因此需要进行紧急检查和治疗。文献回顾显示,此前已有37例非重大创伤性脊髓硬膜下血肿的病例报道。