自发性颈段硬膜外血肿继发脊髓压迫症
Spinal Cord Compression Secondary to a Spontaneous Cervical Epidural Haematoma.
作者信息
Ali Deeba, Gorur Yilmaz, Cardos Benoit, Masabarakiza Jean Bosco, Stilmant Anne-Christine, Yerna Michele, Lorenzo-Villalba Noel
机构信息
Service des Urgences, CHC MontLégia, Liège, Belgium.
Service de Radiologie, Clinique André Renard, Herstal, Belgium.
出版信息
Eur J Case Rep Intern Med. 2022 Mar 9;9(3):003218. doi: 10.12890/2022_003218. eCollection 2022.
UNLABELLED
We report the case of an 86-year-old female patient with chronic neck pain who presented with an initial misleading clinical picture suggesting an ischaemic stroke. No recent or previous anticoagulation treatment or fall history was reported. The patient developed a paraplegia of the upper limbs needing magnetic resonance imaging which revealed a compressive cervical haematoma. The patient benefitted from cervical laminectomy and evacuation of the cervical haematoma. Motricity in upper extremities was recovered but paresis in the lower extremities persisted 1 week after surgical intervention.
LEARNING POINTS
Insidious spontaneous cervical haematoma can mimic ischaemic stroke.Early recognition and treatment of cervical haematoma can improve prognosis.
未标注
我们报告了一例86岁慢性颈部疼痛女性患者的病例，该患者最初呈现出提示缺血性中风的误导性临床表现。未报告近期或既往抗凝治疗情况或跌倒史。患者出现上肢截瘫，需要进行磁共振成像检查，结果显示为颈椎血肿压迫。患者接受了颈椎椎板切除术和颈椎血肿清除术，术后上肢运动功能恢复，但术后1周下肢仍存在轻瘫。
学习要点
隐匿性自发性颈椎血肿可模拟缺血性中风。早期识别和治疗颈椎血肿可改善预后。
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