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肩部疼痛的一种罕见的危及生命的表现:颈椎硬膜外血肿。

A Rare Life-Threatening Presentation of Shoulder Pain: Cervical Epidural Hematoma.

作者信息

Shankar Takshak, Nagasubramanyam Vempalli, Bairwa Archana, Pundir Ashwani

机构信息

Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, IND.

出版信息

Cureus. 2023 Jan 8;15(1):e33510. doi: 10.7759/cureus.33510. eCollection 2023 Jan.

DOI:10.7759/cureus.33510
PMID:36779100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9904511/
Abstract

Shoulder pain is a common complaint of patients presenting to emergency department. Various conditions, intrinsic and extrinsic to the shoulder, can result in shoulder pain. Some of these extrinsic conditions can pose a threat to life. We present a case of a young, previously healthy male who initially had bilateral shoulder pain, later developed quadriparesis, and was ultimately diagnosed with a spontaneous cervical epidural hematoma. He underwent an emergency C7-T1 laminectomy with hematoma evacuation and had a full recovery. Cervical epidural hematoma is a rare surgical emergency where timely diagnosis and treatment are crucial.

摘要

肩部疼痛是急诊科患者的常见主诉。肩部内外的各种情况都可能导致肩部疼痛。其中一些外部情况可能会对生命构成威胁。我们报告一例年轻的、既往健康的男性病例,该患者最初出现双侧肩部疼痛,随后发展为四肢瘫痪,最终被诊断为自发性颈段硬膜外血肿。他接受了急诊C7 - T1椎板切除术并清除血肿,最终完全康复。颈段硬膜外血肿是一种罕见的外科急症,及时诊断和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f19/9904511/dbbe18c4bf62/cureus-0015-00000033510-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f19/9904511/911229979271/cureus-0015-00000033510-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f19/9904511/dbbe18c4bf62/cureus-0015-00000033510-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f19/9904511/911229979271/cureus-0015-00000033510-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f19/9904511/dbbe18c4bf62/cureus-0015-00000033510-i02.jpg

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Surg Neurol Int. 2021 Mar 2;12:79. doi: 10.25259/SNI_15_2021. eCollection 2021.
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Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics.延迟性肌肉酸痛(DOMS)的研究进展:第一部分:发病机制与诊断
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Spontaneous Epidural Hematoma of Cervical Spine.颈椎自发性硬膜外血肿
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Spontaneous spinal epidural haematoma.自发性脊髓硬膜外血肿。
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