Reinsel T E, Goldberg E, Granato D B, Wilkinson S, Penn R
Department of Orthopedic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612.
J Spinal Disord. 1993 Feb;6(1):62-7.
Spinal subdural hematoma is a rare condition with numerous etiologies. It is even more rare in the postoperative period and must be differentiated from the more common causes of postoperative pain and radiculopathy. We report a 36-year-old man presenting 6 weeks after surgery with incapacitating pain who was found to have a subdural but extraarachnoid fluid collection. We describe clinical presentation, radiological findings, etiology, and treatment. We conclude that, although rare, the spinal subdural hematoma should be considered in patients with postoperative pain. Prompt recognition and surgical evacuation are important for optimal recovery.
脊髓硬膜下血肿是一种病因众多的罕见病症。在术后阶段更为罕见,必须与术后疼痛和神经根病的更常见病因相鉴别。我们报告一例36岁男性,术后6周出现剧痛,发现有硬膜下但蛛网膜外积液。我们描述了临床表现、影像学检查结果、病因及治疗方法。我们得出结论,尽管罕见,但术后疼痛患者应考虑脊髓硬膜下血肿的可能。及时识别并手术清除血肿对最佳恢复很重要。