Zübeyde Özkaya, Adem Kurtuluş, Samet Dinç
Afyonkarahisar State Hospital, Neurosurgery Department, Afyonkarahisar, Turkey.
Afyonkarahisar State Hospital, Neurosurgery Department, Afyonkarahisar, Turkey.
Int J Surg Case Rep. 2022 Jan;90:106719. doi: 10.1016/j.ijscr.2021.106719. Epub 2021 Dec 23.
Covid-19 is an important disease that still occupies our agenda, and as time passes, we have been observing its extrapulmonary manifestations. In this study, we presented a case of spontaneous thoracolumbar epidural hematoma, which we could not attribute to any cause other than Covid-19.
We presented a 55-year-old female patient whose etiology could not be found to be compatible with the literature. In the formation of this disease, we did not have any positive findings except for Covid-19, which she had 20 days ago. The patient had no history of anticoagulant or antiaggregant drug use. He had no history of trauma and no signs. Hematological tests were normal. We evacuated the hematoma in the T12-L1 vertebral canal after laminectomy and the pathology result was compatible with hematoma.
Although spontaneous spinal epidural hematoma is rare, many factors are blamed for its etiology. Many extrapulmonary complications of Covid-19 stand out in the literature. The fact that the patient had Covid-19 did not affect the neurosurgical approach, but we think that it is useful to examine the complaints of patients with Covid-19 more systematically.
Spontaneous spinal epidural hematomas are rare. Making the correct diagnosis often takes time and is difficult. Decompression surgery is at the forefront as a treatment option. However, conservative treatment can be performed in suitable patients. As we saw in this case, we should consider Covid-19 among the etiological causes.
新冠病毒病是一种仍在我们议程上的重要疾病，随着时间的推移，我们一直在观察其肺外表现。在本研究中，我们报告了一例自发性胸腰段硬膜外血肿病例，除新冠病毒病外，我们无法将其归因于任何其他原因。
我们报告了一名55岁女性患者，其病因与文献记载不符。在该疾病的形成过程中，除了她20天前感染的新冠病毒病外，我们没有任何阳性发现。该患者没有使用抗凝或抗血小板药物的病史。她没有外伤史，也没有相关体征。血液学检查正常。我们在椎板切除术后清除了T12-L1椎管内的血肿，病理结果与血肿相符。
尽管自发性脊髓硬膜外血肿罕见，但其病因有多种。新冠病毒病的许多肺外并发症在文献中备受关注。患者感染新冠病毒病这一事实并未影响神经外科手术方法，但我们认为更系统地检查新冠病毒病患者的症状是有益的。
自发性脊髓硬膜外血肿罕见。做出正确诊断通常需要时间且困难重重。减压手术是首要的治疗选择。然而，适合的患者可进行保守治疗。正如我们在本病例中所见，我们应将新冠病毒病纳入病因考虑范围。
