Mastronardi L, Carletti S, Frondizi D, Spera C, Maira G
Department of Neurological Sciences, Civilian Hospital Santa Maria Terni, Italy.
Eur Spine J. 1996;5(4):268-71. doi: 10.1007/BF00301331.
Epidural hematoma is a rare cause of spinal cord compression, which usually provokes severe neurological deficits. It is presumed to originate from venous or, more probably, arterial bleeding. Thrombocytopenia and other disorders of coagulation may precipitate the onset of epidural hematoma and facilitate the evolution of the disease. We report the case of a patient suffering from a non-Hodgkin's lymphoma with severe thrombocytopenia during a MACOP-B schedule, who presented with a spontaneous cervical epidural hematoma. We discuss the etiopathological aspects, diagnosis, and treatment of this rare cause of acute cervical spinal cord compression.
硬膜外血肿是脊髓压迫的罕见原因,通常会引发严重的神经功能缺损。推测其起源于静脉出血,更有可能是动脉出血。血小板减少症和其他凝血障碍可能促使硬膜外血肿的发生并加速疾病进展。我们报告了一例在MACOP-B方案治疗期间患有非霍奇金淋巴瘤并伴有严重血小板减少症的患者,该患者出现了自发性颈段硬膜外血肿。我们讨论了这种急性颈髓压迫罕见病因的病因病理、诊断及治疗方面的问题。