Rainov N G, Heidecke V, Burkert W L
Neurosurgical Department, Martin-Luther-University, Halle/Saale, Fed. Rep. of Germany.
Neurosurg Rev. 1995;18(1):53-60. doi: 10.1007/BF00416479.
We report the case of a thoracic epidural hematoma at the T7-T9 level which occurred after placement of spinal epidural catheter for continuous anaesthesia in acute pancreatitis. The male patient felt a sudden back pain after six days of successful analgesia and became paraplegic 24 hours afterwards. An emergency laminectomy and removal of the hematoma were performed; however, the patient recovered only incompletely. We discuss the clinical signs and symptoms of spinal epidural hematoma as well as its diagnostics and therapy. The controversial views from the literature concernings its etiology are critically reviewed.
我们报告了一例在急性胰腺炎患者行连续麻醉置入脊髓硬膜外导管后发生的T7 - T9水平胸椎硬膜外血肿病例。该男性患者在成功镇痛6天后突然感到背痛，并在24小时后出现截瘫。急诊行椎板切除术并清除血肿；然而，患者仅部分恢复。我们讨论了脊髓硬膜外血肿的临床体征和症状及其诊断与治疗。对文献中关于其病因的争议性观点进行了批判性综述。
