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模拟椎间盘综合征的慢性腰椎硬膜外血肿

Chronic lumbar extradural haematoma simulating disc syndrome.

作者信息

Devadiga K V, Gass H H

出版信息

J Neurol Neurosurg Psychiatry. 1973 Apr;36(2):255-9. doi: 10.1136/jnnp.36.2.255.

Abstract

Two patients presenting with a clinical picture of nerve root compression suggestive of the herniated disc syndrome are reported. In both the diagnosis proved to be chronic encapsulated extradural haematoma. Recognition of this entity at the time of surgical exposure should render the surgical dissection easier. The postoperative results in both were excellent. One of these patients was on chronic anticoagulant therapy and the unusual location and good prognosis of extradural haematoma in the lumbar spinal canal in such patients is emphasized. In the other, the haematoma developed after a minor back injury, which introduces medico-legal implications.

摘要

报告了两名表现出神经根受压临床表现、提示椎间盘突出综合征的患者。在这两名患者中,诊断均为慢性包裹性硬膜外血肿。在手术暴露时识别该实体应使手术解剖更容易。两名患者的术后结果均极佳。其中一名患者正在接受慢性抗凝治疗,强调了此类患者腰椎管硬膜外血肿的不寻常位置和良好预后。另一名患者在轻微背部受伤后出现血肿,这引发了法医学问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/1083561/29e718a48b81/jnnpsyc00200-0096-a.jpg

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