Costabile G, Husag L, Probst C
Surg Neurol. 1984 May;21(5):489-92. doi: 10.1016/0090-3019(84)90455-5.
Three cases of spinal epidural hematoma are reported, one lumbar, another cervical, and the third thoracic. All were dorsolaterally localized, the first and the third were dependent on anticoagulant therapy, and the second was spontaneous. In addition to the symptoms of sudden onset, acute spinal pain, flaccid paralysis, and loss of sphincter control, the second case had the exceptional picture of a cervical anterior spinal cord syndrome with preoperative transient improvement, followed by the development of Brown--Séquard syndrome with subsequent deterioration. This case was diagnosed by means of computed tomography. The postoperative course has been satisfactory in all patients, with complete recovery in two.
报告了3例脊髓硬膜外血肿病例，1例发生于腰椎，另1例在颈椎，第3例位于胸椎。所有病例均位于背外侧，第1例和第3例与抗凝治疗有关，第2例为自发性。除了突发症状、急性脊柱疼痛、弛缓性麻痹和括约肌控制丧失外，第2例还出现了特殊的颈脊髓前综合征表现，术前有短暂改善，随后发展为布朗 - 塞卡尔综合征并随后恶化。该病例通过计算机断层扫描得以诊断。所有患者术后过程均令人满意，其中2例完全康复。
