Termer Andreas, Klebingat Markus, Gierer Philip
Abteilung für Unfall‑, Wiederherstellungs- und Handchirurgie, Städtisches Klinikum Dresden Standort Friedrichstadt, Friedrichstraße 41, 01067, Dresden, Deutschland.
Unfallchirurgie (Heidelb). 2025 Jun;128(6):467-469. doi: 10.1007/s00113-025-01569-8. Epub 2025 Apr 4.
A severely injured patient was intubated at the accident site. The polytrauma computed tomography (CT) revealed complex injuries to the trunk and open fractures of the extremities. Stable fractures of the C2 and L4 vertebrae were identified in the spine. During the course of treatment a sensorimotor deficit in the lower extremities persisted on extubation. Magnetic resonance imaging (MRI) revealed an intraspinal subdural hemorrhage with absolute stenosis of the spinal canal. Immediate decompression did not result in any improvement of symptoms. A spinal subdural hematoma is a rare condition with severe consequences for the patient.
一名重伤患者在事故现场接受了气管插管。多发性创伤计算机断层扫描（CT）显示躯干有复合伤以及四肢开放性骨折。在脊柱中发现了C2和L4椎体的稳定性骨折。在治疗过程中，拔管后下肢感觉运动功能障碍持续存在。磁共振成像（MRI）显示椎管内硬膜下出血伴椎管完全狭窄。立即减压并未使症状有任何改善。脊髓硬膜下血肿是一种罕见的病症，对患者有严重后果。
