两例日本老年男性自发性颈段硬膜外血肿，无背痛或颈痛。
Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men.
作者信息
Hongo Takashi, Iseda Kenichi, Tsuchiya Midori, Inaba Mototaka, Nozaki Satoshi, Takahashi Kenji, Nakajima Masaaki, Fujiwara Toshifumi
机构信息
Emergency Department Okayama Saiseikai General Hospital Okayama Japan.
Department of Neurosurgery Okayama Saiseikai General Hospital Okayama Japan.
出版信息
Acute Med Surg. 2017 Oct 24;5(2):181-184. doi: 10.1002/ams2.317. eCollection 2018 Apr.
CASES
Spontaneous spinal epidural hematoma (SSEH) is an uncommon disease. Most SSEH cases involve back and/or neck pain. We report the cases of two men who experienced SSEH with dysstasia but without back or neck pain.
OUTCOMES
This study presents two cases involving elderly Japanese men who visited an emergency department because of sudden dysstasia without back or neck pain. The results of the neurological examinations revealed ataxic gait. Cervical spinal epidural hematomas were observed by computed tomography and magnetic resonance imaging. One patient underwent hematoma removal and decompression by corpectomy, whereas the other patient received conservative treatment and observation. The patients were discharged without sequelae.
CONCLUSION
Spinal epidural hematomas are difficult to diagnose, and a delayed diagnosis can adversely affect the patient's quality of life. These hematomas should be considered in the differential diagnosis of cerebrovascular diseases.
病例
自发性脊髓硬膜外血肿（SSEH）是一种罕见疾病。大多数SSEH病例伴有背部和/或颈部疼痛。我们报告了两例患有发育障碍但无背部或颈部疼痛的SSEH男性病例。
结果
本研究介绍了两例老年日本男性病例，他们因突发发育障碍且无背部或颈部疼痛而前往急诊科就诊。神经学检查结果显示为共济失调步态。通过计算机断层扫描和磁共振成像观察到颈椎硬膜外血肿。一名患者接受了血肿清除术和椎体次全切除术减压，而另一名患者接受了保守治疗和观察。患者出院时无后遗症。
结论
脊髓硬膜外血肿难以诊断，延迟诊断会对患者的生活质量产生不利影响。在脑血管疾病的鉴别诊断中应考虑这些血肿。
Zotero 插件