自发性脊髓硬膜下血肿。

Spontaneous spinal subdural hematoma.

作者信息

Longatti P L, Freschi P, Moro M, Trincia G, Carteri A

机构信息

Divisione Clinicizzata di Neurochirurgia, Università di Padova, Ospedale Regionale Treviso, Italy.

出版信息

J Neurosurg Sci. 1994 Sep;38(3):197-9.

PMID:7782868

Abstract

A case of spontaneous spinal subdural hematoma is reported. Clinical signs at onset, laboratory investigations and bloody CSF at lumbar punction were suggesting of subarachnoid hemorrhage. MRI was fully diagnostic. Surgery was ruled out and spinal compression cleared spontaneously over one week. Etiological factors, possible diagnostic pittfalls and the indication surgical decompression are discussed.

摘要

报告了一例自发性脊髓硬膜下血肿病例。起病时的临床体征、实验室检查以及腰椎穿刺时血性脑脊液提示为蛛网膜下腔出血。磁共振成像（MRI）具有完全诊断价值。排除了手术治疗，脊髓压迫在一周内自行缓解。讨论了病因、可能的诊断陷阱以及手术减压的指征。