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登革热继发的自发性脊柱硬膜下血肿:一例罕见病例报告并文献复习

Spontaneous Subdural Hematoma of Dorsal Spine Secondary to Dengue Fever: A Rare Case Report with Review of Literature.

作者信息

Maheshwari Vikas, Kumar Sanjay, Kumar Arun, Kumar Ashok

机构信息

Department of Neurosurgery, AFMC, Pune, Maharashtra, India.

出版信息

Asian J Neurosurg. 2019 Apr-Jun;14(2):550-552. doi: 10.4103/ajns.AJNS_228_18.

Abstract

A 54-year-old female patient had a sudden onset of febrile illness following which she developed low backache and sudden onset paraplegia with urinary retention. Her hemogram, biochemistry, and coagulation profile was within normal limits. Her dengue serology was positive for IgG antibodies but negative for NS1 Ag. Magnetic resonance imaging of dorsolumbar spine revealed extensive subdural bleed from D6-D12 with cord compression. She underwent emergency laminectomy D6-D12 along with complete evacuation of hematoma. There was complete recovery of sensations in the immediate postoperative period though her motor weakness showed only marginal improvement.

摘要

一名54岁女性患者突然发热,随后出现腰痛,并突然发生截瘫及尿潴留。她的血常规、生化检查及凝血指标均在正常范围内。她的登革热血清学检查IgG抗体呈阳性,但NS1抗原呈阴性。胸腰椎磁共振成像显示D6至D12水平有广泛的硬膜下出血并伴有脊髓受压。她接受了D6至D12节段的急诊椎板切除术并彻底清除血肿。术后即刻感觉完全恢复,但其运动无力仅略有改善。

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