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一名12岁儿童的自发性脊髓硬膜外血肿

Spontaneous Spinal Epidural Hematoma in a 12-Year-Old Child.

作者信息

Alkhuraiji Abdullah S, Alrehaili Osama A, Al Boukai Ahmad A

机构信息

Department of Orthopaedic Surgery, King Saud University Medical City, Riyadh, SAU.

Department of Radiology, King Saud University Medical City, Riyadh, SAU.

出版信息

Cureus. 2021 Jul 29;13(7):e16728. doi: 10.7759/cureus.16728. eCollection 2021 Jul.

DOI:10.7759/cureus.16728
PMID:34513360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8412216/
Abstract

Spontaneous spinal epidural hematoma (SSEH) is uncommon, with an estimated incidence of one per million per year in the general population. Since SSEH was first described, only 29 cases have been reported in children. This condition is difficult to diagnose and needs immediate surgical intervention for hematoma evacuation and cord decompression to obtain optimal functional and neurological outcomes. The presentation in children might be atypical. We present a case that was managed surgically and yielded full recovery.

摘要

自发性脊髓硬膜外血肿（SSEH）并不常见，普通人群中估计年发病率为百万分之一。自首次描述SSEH以来，儿童病例仅报告了29例。这种情况很难诊断，需要立即进行手术干预以清除血肿并解除脊髓压迫，从而获得最佳的功能和神经学预后。儿童的表现可能不典型。我们报告一例经手术治疗后完全康复的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/8412216/685ab46d4096/cureus-0013-00000016728-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/8412216/19a4c5d960d8/cureus-0013-00000016728-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/8412216/685ab46d4096/cureus-0013-00000016728-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/8412216/19a4c5d960d8/cureus-0013-00000016728-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/8412216/685ab46d4096/cureus-0013-00000016728-i02.jpg

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本文引用的文献

1
Idiopathic Thoracic Spontaneous Spinal Epidural Hematoma.特发性胸段自发性脊髓硬膜外血肿
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Spontaneous spinal epidural haematoma mimicking meningitis in a 2-year-old child--a case report and literature review.一名2岁儿童自发性脊髓硬膜外血肿酷似脑膜炎——病例报告及文献综述
Childs Nerv Syst. 2013 Oct;29(10):1795-8. doi: 10.1007/s00381-013-2130-8. Epub 2013 May 26.
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A spinal epidural hematoma with symptoms mimicking cerebral stroke.一例症状类似脑卒中的脊髓硬膜外血肿。
Nagoya J Med Sci. 2012 Feb;74(1-2):207-10.
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Spontaneous cervical epidural hematoma of idiopathic etiology: case report and review of literature.特发性病因的自发性颈段硬膜外血肿：病例报告及文献复习
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Complete motor recovery after acute paraparesis caused by spontaneous spinal epidural hematoma: case report.自发性脊髓硬膜外血肿导致急性截瘫后完全运动功能恢复：病例报告。
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Acta Neurochir (Wien). 2004 Feb;146(2):103-10. doi: 10.1007/s00701-003-0160-9. Epub 2003 Dec 5.
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Traumatic spinal epidural hematoma of a 10-month-old male: a clinical note.一名10个月大男性的创伤性脊髓硬膜外血肿：临床记录
Pediatr Neurol. 2000 Jul;23(1):88-9. doi: 10.1016/s0887-8994(00)00151-x.