Ahmed Elham, Saleh-Anaraki Kimia, Onyegbule Chima, AlAfun Mamoon, Ammar Hussam M
Internal Medicine, University of Maryland Capital Region Medical Center, Largo, USA.
Cureus. 2023 Jun 15;15(6):e40452. doi: 10.7759/cureus.40452. eCollection 2023 Jun.
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.
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。