婴儿自发性脊髓硬膜外血肿：一例病例报告及文献复习
Spontaneous spinal epidural hematoma in infants: A case report and review of the literature.
作者信息
Hammoud Marouane, Mohammed Hmamouche Oualid, Chakour Khalid, Chaoui Mohammed El Faiz
机构信息
Department of Neurosurgery, Medical School, University Sidi Mohammed Ben Abdellah, Hassan II University Hospital of Fez, Fez, Morocco.
出版信息
Surg Neurol Int. 2024 Sep 6;15:320. doi: 10.25259/SNI_290_2024. eCollection 2024.
BACKGROUND
Spontaneous spinal epidural hematomas (SSEHs) are exceedingly uncommon, especially in infants, with only two reported cases. Diagnosis can be delayed due to the nonspecificity of presenting symptoms.
CASE REPORT
We present a case of SSEH in a 10-month-old boy admitted to the pediatric emergency department with a 5-day history of progressive lower extremity motor weakness. There was no history of prior trauma. Magnetic resonance imaging of the spine revealed a posterior epidural hematoma extending from C7 to L4. After hematoma evacuation, the patient's neurological status gradually improved, and no sensorimotor deficit was present 3 weeks postoperatively.
CONCLUSION
Our case suggests that surgical intervention can lead to an excellent prognosis for SSEH in infants, even if the diagnosis is delayed.
背景
自发性脊髓硬膜外血肿（SSEH）极为罕见，尤其是在婴儿中，仅有两例报告病例。由于症状缺乏特异性，诊断可能会延迟。
病例报告
我们报告一例10个月大男孩的SSEH病例，该患儿因进行性下肢运动无力5天入住儿科急诊科。既往无外伤史。脊柱磁共振成像显示硬膜外血肿从C7延伸至L4。血肿清除术后，患者神经状态逐渐改善，术后3周无感觉运动功能障碍。
结论
我们的病例表明，即使诊断延迟，手术干预仍可使婴儿SSEH预后良好。
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