3 岁男孩颈椎硬膜外血肿延迟诊断：病例报告。
Delayed Diagnosis of Cervical Epidural Hematoma in a 3-Year-Old Boy: A Case Report.
机构信息
University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado.
Graduate Medical Education, Neurological Surgery Residency, Carle BroMenn Medical Center, Normal, Illinois.
出版信息
JBJS Case Connect. 2023 Aug 31;13(3). doi: 10.2106/JBJS.CC.23.00170. eCollection 2023 Jul 1.
CASE
A 3-year-old boy presented to the emergency department with torticollis after a fall. With normal cervical radiographs and neurologic exam, he was diagnosed with cervical strain and discharged. After 2-week progressive symptoms, he was referred to a pediatric spine surgeon. Magnetic resonance imaging (MRI) revealed a cervical epidural hematoma, which was then surgically evacuated. He recovered fully and remains symptom-free 2 years later.
CONCLUSION
Pediatric spinal epidural hematoma is a rare condition with potentially serious outcomes yet often nonspecific symptoms. Timely management based on a comprehensive evaluation of symptoms and imaging findings is crucial in improving patient outcomes.
病例
一名 3 岁男孩在摔倒后出现斜颈，前往急诊科就诊。颈椎 X 线和神经检查均正常，诊断为颈扭伤并出院。2 周后症状逐渐加重，他被转诊至小儿脊柱外科医生。磁共振成像（MRI）显示颈椎硬膜外血肿，随后行手术清除。他完全康复，2 年后无任何症状。
结论
小儿脊髓硬膜外血肿是一种罕见的疾病，可能导致严重后果，但症状通常不典型。根据症状和影像学检查结果进行综合评估，及时进行治疗对改善患者预后至关重要。
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