再生障碍性贫血患儿并发自发性脊髓和后颅窝硬膜下血肿：病例报告及文献复习。
Concomitant spontaneous spinal and posterior fossa subdural hematoma in an 11-year-old child with aplastic anemia: a case report and review of literature.
机构信息
Neurosurgery Department, Faculty of Medicine, Suez Canal University Teaching Hospital, Suez Canal University, Ismailia, Egypt.
Hematology, Clinical and Chemical Pathology Department, Faculty of Medicine, Suez Canal University Teaching Hospital, Suez Canal University, Ismailia, Egypt.
出版信息
Childs Nerv Syst. 2022 Nov;38(11):2251-2255. doi: 10.1007/s00381-022-05584-7. Epub 2022 Jun 21.
PURPOSE
The current article describes an 11-year-old male who has aplastic anemia with an extremely rare condition, that is, concomitant posterior fossa SDH and spinal SDH.
METHODS
This is a case report and review of literature.
CASE PRESENTATION
This case presents an 11-year-old male known to have aplastic anemia complained of neck and back pain, headache, and persistent vomiting for 3 days. He had no history of head or spine trauma at all. His parents are relatives "positive consanguinity," and his sister suffers from aplastic anemia. Clinical examination revealed severe pallor at the time of presentation, with no neurologic or locomotor deficit and positive Kernig's sign.
CONCLUSION
Patients with aplastic anemia or any bleeding disorder conditions should be investigated thoroughly if symptoms denoted a CNS pathology. Concomitant cranial and spinal SDH rarely occurs, and more studies are advocated to be structured to investigate the specific pathophysiology and etiologies of this condition.
目的
本文描述了一例患有再生障碍性贫血的 11 岁男性，其伴有极为罕见的后颅窝 SDH 和脊髓 SDH。
方法
这是一份病例报告，并对文献进行了回顾。
病例介绍
本例为 11 岁男性，已知患有再生障碍性贫血，主诉颈部和背部疼痛、头痛和持续呕吐 3 天。他没有头部或脊柱外伤史。他的父母是近亲“阳性血缘关系”，他的妹妹患有再生障碍性贫血。临床检查显示，就诊时出现严重苍白，无神经或运动缺陷，克氏征阳性。
结论
如果症状提示中枢神经系统病变，患有再生障碍性贫血或任何出血性疾病的患者应进行彻底检查。同时发生颅后窝和脊髓 SDH 极为罕见，提倡开展更多研究来探讨这种情况的具体病理生理学和病因。
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