Tomarken J L
Ann Emerg Med. 1985 Mar;14(3):261-3. doi: 10.1016/s0196-0644(85)80452-2.
Although spinal subdural hematoma is a rare condition, it has a higher incidence in persons with a bleeding diathesis and in those with a bleeding diathesis who have had a lumbar puncture. We report a case of a 65-year-old woman on oral anticoagulants presenting with atypical symptoms who developed a spinal subdural hematoma over a six-hour period. This resulted in complete paraplegia of her lower extremities with no improvement after surgical spinal cord decompression.
尽管脊髓硬膜下血肿是一种罕见病症,但在有出血素质的人群以及有出血素质且接受过腰椎穿刺的人群中发病率较高。我们报告一例65岁口服抗凝剂的女性病例,该患者出现非典型症状,并在6小时内发生脊髓硬膜下血肿。这导致其下肢完全截瘫,脊髓减压手术后仍无改善。