创伤性胸段硬膜外毛细血管瘤破裂导致急性神经功能缺损：病例说明
Traumatic rupture of thoracic epidural capillary hemangioma resulting in acute neurologic deficit: illustrative case.
作者信息
Kidwell Reilly L, Stone Lauren E, Goodwill Vanessa, Ciacci Joseph D
机构信息
Departments of Neurosurgery and.
Neuropathology, University of California, San Diego, La Jolla, California.
出版信息
J Neurosurg Case Lessons. 2021 Nov 22;2(21):CASE21309. doi: 10.3171/CASE21309.
BACKGROUND
Thoracic epidural capillary hemangioma is exceedingly rare, with only a few reported cases. The typical presentation usually includes chronic, progressive symptoms of spinal cord compression in middle-aged adults. To the authors' knowledge, this case is the first report in the literature of acute traumatic capillary hemangioma rupture.
OBSERVATIONS
A 22-year-old male presented with worsening lower extremity weakness and paresthesias after a fall onto his spine. Imaging showed no evidence of spinal fracture but revealed an expanding hematoma over 24 hours. Removal of the lesion demonstrated a ruptured capillary hemangioma.
LESSONS
This unique case highlights a rare occurrence of traumatic rupture of a previously unknown asymptomatic thoracic capillary hemangioma in a young adult.
背景
胸段硬膜外毛细血管瘤极为罕见，仅有少数病例报道。典型表现通常包括中年成年人脊髓受压的慢性、进行性症状。据作者所知，该病例是文献中首例急性创伤性毛细血管瘤破裂的报道。
观察结果
一名22岁男性在脊柱受伤后出现下肢无力和感觉异常加重。影像学检查未发现脊柱骨折证据，但显示24小时内血肿扩大。切除病变显示为破裂的毛细血管瘤。
经验教训
这一独特病例凸显了一名年轻成年人中罕见的先前无症状的胸段毛细血管瘤创伤性破裂情况。
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