Urculo Bareño E, Arrazola Schlamich M
Neurochirurgie. 1987;33(1):66-70.
We report one case of spinal epidural hematoma located in the cervical area, so-called spontaneous because this unknown etiology, extended over C3-C6, diagnosed by Computed Tomography, with complete recovery after surgical treatment accomplished 36 hours after the onset of symptoms. The clinical picture is characterized by sudden onset of severe cervical or interscapular pain, associated with radicular radiation into the upper extremities, followed by development of progressive signs of spinal cord compression with varying degree of motor and sensory paralysis. We emphasized the importance of an early diagnosis, easily possible with Computed Tomography. The CT findings are similar to intracranial acute epidural hematoma: showing a characteristic hyperdense lenticular collection, typically localized in the dorsolateral spinal epidural space. Computed Tomography appears to be the procedure of choice for preoperative diagnosis and for postoperative control. The surgical indication is absolute.
我们报告一例位于颈椎区域的脊髓硬膜外血肿，因其病因不明而被称为自发性血肿，血肿范围从C3至C6，通过计算机断层扫描（CT）确诊，在症状出现36小时后进行手术治疗，患者完全康复。临床表现的特征为突然出现严重的颈部或肩胛间疼痛，并伴有向上肢的神经根性放射痛，随后逐渐出现脊髓压迫症状，伴有不同程度的运动和感觉麻痹。我们强调了早期诊断的重要性，而CT很容易实现早期诊断。CT表现与颅内急性硬膜外血肿相似：显示特征性的高密度透镜状血肿，通常位于脊髓硬膜外间隙的背外侧。CT似乎是术前诊断和术后复查的首选检查方法。手术指征是绝对的。
