急性自发性胸椎硬膜外血肿合并脊髓内淋巴管瘤：一例报告。
Acute spontaneous thoracic epidural hematoma associated with intraspinal lymphangioma: A case report.
作者信息
Chia Kai-Jay, Lin Li-Han, Sung Ming-Tse, Su Tsung-Ming, Huang Jin-Fu, Lee Hsiang-Lin, Sung Wen-Wei, Lee Tsung-Han
机构信息
Division of Neurosurgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan.
Department of Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan.
出版信息
World J Clin Cases. 2021 May 16;9(14):3411-3417. doi: 10.12998/wjcc.v9.i14.3411.
BACKGROUND
Spontaneous spinal epidural hematoma is a rare neurosurgical emergency.
CASE SUMMARY
A 53-year-old healthy woman suffered from complete paraplegia in both legs and loss of all sensation below the xiphoid process. She was diagnosed as acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma. The primary lab survey showed all within normal limits. Presence of a posteriorly epidural space-occupying lesion at the T4-T8 level of the spinal canal was confirmed on magnetic resonance imaging. A decompressive laminectomy was performed from the T4 to T7 levels at the sixth hour following abrupt onset of complete paraplegia. The lesion was confirmed as lymphangioma. This patient recovered well within one month.
CONCLUSION
This study reports a case of acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma with well recovery after surgical intervention.
背景
自发性脊髓硬膜外血肿是一种罕见的神经外科急症。
病例摘要
一名53岁健康女性出现双下肢完全截瘫，剑突水平以下感觉完全丧失。她被诊断为由脊髓内淋巴管瘤引起的急性自发性胸段硬膜外血肿。初次实验室检查结果均在正常范围内。磁共振成像证实椎管T4 - T8水平存在硬膜外占位性病变。在完全截瘫突然发作后第6小时，从T4至T7水平进行了减压性椎板切除术。病变被确认为淋巴管瘤。该患者在1个月内恢复良好。
结论
本研究报告了一例由脊髓内淋巴管瘤引起的急性自发性胸段硬膜外血肿病例，手术干预后恢复良好。
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