Penchev Plamen, Petrov Petar-Preslav, Velchev Vladislav, Ilyov Ilko, Vasvi Edvin
Department of Medicine, Medical University of Plovdiv, Plovdiv, BGR.
Department of Anatomy, Histology and Embriology, Medical University of Plovdiv, Plovdiv, BGR.
Cureus. 2023 Dec 10;15(12):e50256. doi: 10.7759/cureus.50256. eCollection 2023 Dec.
Spinal epidural hematoma is a rare clinical entity with an incidence of approximately one per 1,000,000 patients per year. Spinal epidural hematoma is a lesion that can cause spinal cord compression or cauda equina syndrome. We report a clinical case of а 69-year-old male patient who presented to the Neurosurgery Clinic of the General Hospital for Active Treatment "Dobrich" with pain and weakness in both legs for two months after falling in the bathroom. MRI revealed an L2-L3 fracture and a formation in the L2-L3 epidural space, which was compressing the nerve roots. An operative treatment was performed under general anesthesia and, intraoperatively, it was discovered that the formation was a hematoma. Aspiration of the hematoma and decompression of the spinal canal were performed. An L2-L3 stabilization with pedicle screws was done due to total laminectomy and potential instability. Postoperatively, the patient was mobilized on the day after intervention, and no surgery-related complications were observed. The patient experienced relief from his symptoms and was discharged on the fifth day. Six months post-surgery, the patient started to experience pain in his left leg. Radiography showed coxarthrosis on the left hip joint and the patient was referred to the orthopedics for further treatment.
脊髓硬膜外血肿是一种罕见的临床病症，每年发病率约为百万分之一。脊髓硬膜外血肿是一种可导致脊髓受压或马尾综合征的病变。我们报告一例临床病例，一名69岁男性患者因在浴室摔倒后双腿疼痛和无力两个月，前往“多布里奇”总医院神经外科诊所接受积极治疗。磁共振成像（MRI）显示L2-L3骨折以及L2-L3硬膜外间隙有占位，压迫神经根。在全身麻醉下进行了手术治疗，术中发现该占位为血肿。进行了血肿抽吸和椎管减压。由于全椎板切除术及潜在的不稳定性，采用椎弓根螺钉对L2-L3进行了固定。术后，患者在干预后的第二天即可活动，未观察到与手术相关的并发症。患者症状缓解，于第五天出院。术后六个月，患者开始出现左腿疼痛。X线检查显示左髋关节骨关节炎，患者被转诊至骨科进一步治疗。
