Png M A
Department of Diagnostic Radiology, Singapore General Hospital, Singapore.
Singapore Med J. 1997 Feb;38(2):76-8.
Spinal subdural haematomas are a rare cause of spinal cord or cauda equina compression. These are usually seen in association with lumbar puncture or coagulopathy. Spontaneous spinal subdural haematomas are even rarer. This report presents one such case diagnosed by magnetic resonance imaging (MRI) together with a review of the literature. The patient presented with low back pain of acute onset after minimal trauma. MRI showed high signal intensity on both T1-weighted and T2-weighted sequences in the posterior subdural space indicative of a subacute lumbar subdural haematoma. There was no history of bleeding diasthesis. The patient was treated conservatively and recovered spontaneously.
脊髓硬膜下血肿是脊髓或马尾神经受压的罕见原因。这些通常与腰椎穿刺或凝血病有关。自发性脊髓硬膜下血肿更为罕见。本报告介绍了一例通过磁共振成像(MRI)诊断的此类病例,并对文献进行了综述。该患者在轻微创伤后出现急性发作的腰痛。MRI显示硬膜下后间隙在T1加权和T2加权序列上均为高信号强度,提示亚急性腰椎硬膜下血肿。患者无出血素质病史。该患者接受了保守治疗并自发康复。