Licata C, Zoppetti M C, Perini S S, Bazzan A, Gerosa M, Da Pian R
Department of Neurosurgery, Verona University Hospital, Italy.
Acta Neurochir (Wien). 1988;95(3-4):126-30. doi: 10.1007/BF01790773.
A series of 10 surgically treated "spontaneous" spinal haematomas (7 cases with epidural, 3 with intramedullary location), is presented. Symptomatology was rarely acute. Clinical onset was mostly dominated by spinal or radicular pain, followed by severe motor deficit. Surgical outcome was satisfactory in the majority of cases. Age, duration of symptoms, haematoma site and size appeared to have no influence on final outcome. This was significantly correlated only with the preoperative neurological condition.
本文报告了一系列10例经手术治疗的“自发性”脊柱血肿(7例为硬膜外血肿,3例为髓内血肿)。症状很少为急性。临床起病大多以脊柱或神经根性疼痛为主,随后出现严重运动功能障碍。大多数病例的手术结果令人满意。年龄、症状持续时间、血肿部位和大小似乎对最终结果没有影响。这仅与术前神经状况显著相关。