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创伤后颈椎硬膜外血肿:病例报告。

Cervical epidural hematoma post-trauma: a case report.

机构信息

Service de Neurochirurgie de l'Hôpital Des Spécialités, Université Mohammed V de Rabat, Rabat, Maroc.

出版信息

Pan Afr Med J. 2022 Sep 7;43:12. doi: 10.11604/pamj.2022.43.12.28877. eCollection 2022.

Abstract

Post-traumatic spinal epidural cervical hematoma is defined as a collection of blood at the level of the epidural space following a trauma. It remains a rare presentation. We report here the case of a cervical epidural hematoma extending from C3 to C5, in a 55-year-old patient victim of a public traffic accident admitted one hour after trauma. Computed Tomography (CT) scan found a compressive epidural hematoma extending C3 to C5; the patient underwent a posterior surgical approach, which allowed to evacuate the hematoma. This rare clinical entity is an emergency diagnosis and management, which needs collaboration between, Intensive Care Unit (ICU) specialists, neurosurgeons, neuroradiologists, and physiotherapists for good outcomes and follow-up.

摘要

创伤性颈椎硬膜外血肿是指创伤后硬膜外腔出现血液积聚。它仍然是一种罕见的表现。我们在此报告一例 55 岁患者的病例,该患者在交通事故后 1 小时内入院,颈椎硬膜外血肿从 C3 延伸至 C5。计算机断层扫描(CT)发现 C3 至 C5 有压迫性硬膜外血肿;患者接受了后路手术,血肿得以清除。这种罕见的临床实体是一种紧急诊断和治疗,需要重症监护病房(ICU)专家、神经外科医生、神经放射科医生和物理治疗师的合作,以获得良好的结果和随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e27/9674530/a81aa250a027/PAMJ-43-12-g001.jpg

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