两名结节病患者发生颈椎自发性硬膜外血肿。
Spontaneous epidural hematoma of the cervical spine in two patients with sarcoidosis.
作者信息
Nasios Anastasios, Alexiou George, Zygouris Andreas, Voulgaris Spyridon
机构信息
Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Epirus, Greece.
出版信息
Surg Neurol Int. 2021 Apr 19;12:168. doi: 10.25259/SNI_173_2021. eCollection 2021.
BACKGROUND
Sarcoidosis is correlated with hematological abnormalities that can result in spontaneous spinal epidural hematomas (EDH). As there is significant risk for permanent neurologic sequelae due to acute cord compression, these lesions often warrant emergent surgical intervention.
CASE DESCRIPTION
Two females, 56 and 62 years of age, respectively, both with sarcoidosis on corticosteroids, presented with the spontaneous acute onset of cervical pain, and progressive myeloradiculopathy. Emergent MR scans revealed cervical EDHs with cord compression, respectively, from C5-T1, and C6-C7. Following emergent laminectomies in both cases, patients' neurological deficits resolved.
CONCLUSION
Two patients with sarcoidosis at increased risk for spontaneous hemorrhages, presented with cervical EDHs warranting emergent decompressive laminectomies.
背景
结节病与血液学异常相关，可导致自发性脊髓硬膜外血肿（EDH）。由于急性脊髓受压会导致永久性神经后遗症的重大风险，这些病变通常需要紧急手术干预。
病例描述
两名女性，分别为56岁和62岁，均患有结节病且正在使用皮质类固醇治疗，她们均出现颈部疼痛急性发作，并伴有进行性脊髓神经根病。紧急磁共振成像扫描分别显示C5-T1和C6-C7节段的颈椎硬膜外血肿伴脊髓受压。两例患者均接受紧急椎板切除术后，神经功能缺损均得到缓解。
结论
两名有自发性出血风险增加的结节病患者出现颈椎硬膜外血肿，需要紧急减压性椎板切除术。
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