自发性脊髓硬膜外血肿致膀胱和肠道功能障碍但无截瘫：一例报告。
Bladder and Bowel Dysfunction due to a Spontaneous Spinal Epidural Hematoma Without Paraplegia: A Case Report.
机构信息
Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
出版信息
JBJS Case Connect. 2022 Jun 8;12(2). doi: 10.2106/JBJS.CC.22.00128. eCollection 2022 Apr 1.
CASE
A 44-year-old man developed urinary retention due to a spontaneous spinal epidural hematoma (SSEH) at the cervicothoracic junction, without paraplegia. Symptoms improved with surgical treatment.
CONCLUSION
SSEH is rare and causes acute neck or back pain and progressive paralysis. Patients with advanced myelopathy due to spinal cord compression lesion including SSEH often present with bladder and bowel disorders after exacerbation of quadriplegia. However, SSEH can cause predominant bladder and bowel disorders without paraplegia or quadriplegia. Physicians should consider that there can be a manifestation of myelopathy with bladder and bowel dysfunction without quadriplegia.
病例
一名 44 岁男性因颈胸交界处自发性硬脊膜外血肿（SSEH）出现尿潴留，但无截瘫。经手术治疗，症状得到改善。
结论
SSEH 较为罕见，可引起急性颈或背痛及进行性瘫痪。由于脊髓压迫性病变（包括 SSEH）导致的晚期脊髓病患者在四肢瘫痪恶化后常出现膀胱和肠道功能紊乱。然而，SSEH 可引起以膀胱和肠道功能紊乱为主，而无截瘫或四肢瘫痪。医生应考虑到可能会出现以膀胱和肠道功能障碍为表现，而无四肢瘫痪的脊髓病。
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