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Spinal subarachnoid haemorrhage presenting as spinal block without meningism.表现为脊髓阻滞而无脑膜刺激征的脊髓蛛网膜下腔出血
Postgrad Med J. 1985 Nov;61(721):991-3. doi: 10.1136/pgmj.61.721.991.
2
Spinal cord compression secondary to a thoracic meningeal cyst after subarachnoid haemorrhage: a case report.蛛网膜下腔出血后继发于胸段脊膜囊肿的脊髓压迫症：一例报告
J Neurol Neurosurg Psychiatry. 1994 Sep;57(9):1145-6. doi: 10.1136/jnnp.57.9.1145.
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[Acute myeloradicular compression by a spontaneous subarachnoid hematoma].[自发性蛛网膜下腔血肿导致的急性脊髓神经根压迫]
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Acute spinal cord compression by spontaneous subarachnoid haematoma.自发性蛛网膜下腔血肿所致急性脊髓压迫症
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An uncommon cause of acute back pain: spinal subarachnoid hemorrhage progressing to spinal cord compression.急性背痛的一种罕见病因：脊髓蛛网膜下腔出血进展为脊髓压迫。
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本文引用的文献

1
Spontaneous spinal subarachnoid haemorrhage.自发性脊髓蛛网膜下腔出血
Q J Med. 1956 Jan;25(97):53-66.
2
Syndrome of inappropriate secretion of antidiuretic hormone after subarachnoid hemorrhage.蛛网膜下腔出血后抗利尿激素分泌不当综合征
Neurosurgery. 1981 Oct;9(4):394-7. doi: 10.1227/00006123-198110000-00008.
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Inappropriate antidiuretic hormone secretion in subarachnoid hemorrhage.
Trans Am Neurol Assoc. 1965;90:217-8.
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Hyponatremia in subarachnoid hemorrhage.蛛网膜下腔出血中的低钠血症
Arch Neurol. 1965 Dec;13(6):633-8. doi: 10.1001/archneur.1965.00470060069007.
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Severe hyponatraemia in hospital inpatients.住院患者中的严重低钠血症
Br Med J. 1978 Nov 4;2(6147):1251-3. doi: 10.1136/bmj.2.6147.1251.

表现为脊髓阻滞而无脑膜刺激征的脊髓蛛网膜下腔出血

Spinal subarachnoid haemorrhage presenting as spinal block without meningism.

作者信息

Duncombe A S, Kennedy P G

出版信息

Postgrad Med J. 1985 Nov;61(721):991-3. doi: 10.1136/pgmj.61.721.991.

DOI:10.1136/pgmj.61.721.991
PMID:4070118
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2418485/
Abstract

A case of spinal subarachnoid haemorrhage with progressive spinal cord compression and without any evidence of meningism is described. Spinal block was demonstrated by myelography and computerized tomography and surgical decompression of the subarachnoid blood clot resulted in almost complete recovery. A diagnosis of spinal subarachnoid haemorrhage should be considered in any patient who presents with acute back pain and slowly or rapidly progressive neurological signs in the limbs, even when meningism is absent.

摘要

本文描述了一例脊髓蛛网膜下腔出血患者，伴有进行性脊髓压迫且无任何脑膜刺激征迹象。脊髓造影和计算机断层扫描显示存在脊髓阻滞，对蛛网膜下腔血凝块进行手术减压后患者几乎完全康复。对于任何出现急性背痛且伴有四肢缓慢或快速进展性神经体征的患者，即使没有脑膜刺激征，也应考虑脊髓蛛网膜下腔出血的诊断。