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幼儿外伤性颈段脊髓硬膜外血肿1例:两年随访

A Rare Case of Traumatic Cervical Spinal Epidural Hematoma in a Toddler: A Two-Year Follow-Up.

作者信息

Abdul Latiff 'Afif, Muhamad Ariffin Mohd Hisam

机构信息

Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

Spine Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

出版信息

Cureus. 2022 Nov 21;14(11):e31767. doi: 10.7759/cureus.31767. eCollection 2022 Nov.

Abstract

Traumatic cervical epidural hematoma is a rare disease in the pediatric population. It requires a high level of suspicion in children who presents with acute neurological deficit after trauma. Magnetic resonance imaging (MRI) is required to confirm the diagnosis. Early surgical intervention is recommended to have the best neurological outcome. We report a case of a traumatic cervical epidural hematoma in a toddler with complete paraplegia, which partially recovered after decompressive surgery. We would like to emphasize the importance of high suspicion for this condition and the need for an urgent MRI to confirm the diagnosis.

摘要

创伤性颈椎硬膜外血肿在儿科人群中是一种罕见疾病。对于创伤后出现急性神经功能缺损的儿童,需要高度怀疑此病。确诊需要进行磁共振成像(MRI)检查。建议早期进行手术干预以获得最佳神经功能转归。我们报告一例幼儿创伤性颈椎硬膜外血肿伴完全性截瘫的病例,该患儿在减压手术后部分恢复。我们想强调对此病保持高度怀疑的重要性以及紧急进行MRI以确诊的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51a2/9777344/4ee8597595f3/cureus-0014-00000031767-i01.jpg

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