Ramachandran Smita, Mishra Varsha, Gera Rani
Department of Pediatrics, Safdarjung Hospital, New Delhi, India.
J Pediatr Neurosci. 2020 Jul-Sep;15(3):171-174. doi: 10.4103/jpn.JPN_137_16. Epub 2020 Nov 6.
Spontaneous spinal epidural hematomas are a rare presentation in children with very few case reports of spontaneous spinal hemorrhage in the pediatric age-group. There has to be a high index of suspicion of spontaneous spinal bleed in patients with acute-onset quadriparesis with no prior history of bleeding or trauma, as early diagnosis and surgical decompression is associated with better neurological outcomes.
自发性脊髓硬膜外血肿在儿童中较为罕见,儿科年龄组中自发性脊髓出血的病例报告极少。对于急性起病的四肢瘫且无出血或创伤既往史的患者,必须高度怀疑自发性脊髓出血,因为早期诊断和手术减压与更好的神经功能预后相关。