非创伤性脊柱硬膜外血肿。

Non traumatic spinal epidural haematoma.

作者信息

Khalid N A, Shah N

机构信息

MBBS, MRCP Specialist registrar, Geriatric medicine/General Internal Medicine. University hospitals of Leicester NHS trust. Leicester Royal Infirmary.

MBBS, MD, MRCP, FRCP, Consultant Physician and Geriatrician University hospitals of Leicester NHS trust, Leicester Royal Infirmary.

出版信息

Acute Med. 2019;18(4):255-258.

PMID:31912059

Abstract

Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for Atrial fibrillation (AF) presented with history of non-traumatic sudden onset pain in both legs and difficulty in walking. Magnetic resonance imaging (MRI) spine demonstrated epidural haematoma which was treated conservatively. Another dilemma was anticoagulation for AF. We examine the options to manage such case.

摘要

脊髓硬膜外血肿是一种罕见的病症，可能由外伤、手术、硬膜外导管插入术或凝血功能障碍引起。我们报告一例60岁女性病例，该患者因心房颤动（AF）正在服用华法林，出现双下肢非创伤性突发疼痛及行走困难的病史。脊柱磁共振成像（MRI）显示硬膜外血肿，对此进行了保守治疗。另一个难题是房颤的抗凝治疗。我们探讨了处理此类病例的方法。