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一个罕见的诊断:一例与新冠病毒相关的自发性脊髓出血病例

A Zebra Diagnosis: A Case of Spontaneous Hematomyelia Associated With COVID-19.

作者信息

Ahmed Elham, Saleh-Anaraki Kimia, Onyegbule Chima, AlAfun Mamoon, Ammar Hussam M

机构信息

Internal Medicine, University of Maryland Capital Region Medical Center, Largo, USA.

出版信息

Cureus. 2023 Jun 15;15(6):e40452. doi: 10.7759/cureus.40452. eCollection 2023 Jun.

Abstract

Spontaneous non-traumatic spinal hematomyelia, characterized by intramedullary spinal hematoma, is a rare neurological emergency. Bleeding arteriovenous malformation, coagulopathies, and neoplasms are reported causes of this rare diagnosis. The authors present a case of a previously healthy man who presented with acute paraplegia and was found to have a spontaneous hematomyelia in association with covid infection. He underwent laminectomy and hematoma evacuation but did not recover any neurological function.

摘要

自发性非创伤性脊髓血肿,以脊髓内血肿为特征,是一种罕见的神经急症。出血性动静脉畸形、凝血功能障碍和肿瘤是该罕见诊断的已知病因。作者报告了一例既往健康的男性病例,该患者出现急性截瘫,经检查发现患有与新冠感染相关的自发性脊髓血肿。他接受了椎板切除术和血肿清除术,但未恢复任何神经功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/497b/10349385/257ec4524ebc/cureus-0015-00000040452-i01.jpg

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