Guthikonda M, Schmidek H H, Wallman L J, Snyder T M
Neurosurgery. 1979 Nov;5(5):614-6. doi: 10.1227/00006123-197911000-00014.
A case of lumbar spinal subdural hematoma in a patient who had been on anticoagulant therapy is reported. Thus far 19 cases of spinal subdural hematoma have been reported in the literature, the majority in patients with a bleeding diathesis and after a lumbar puncture. Our case is the third reported to be in association with anticoagulant therapy. The hematoma was lumbosacral, in contrast to the usual location in the dorsal-lumbar area. A possible mechanism for the production of spinal subdural hematoma after a lumbar puncture is discussed. An early decompressive laminectomy and evacuation of the hematoma is the recommended treatment to obtain the best possible recovery of neurological function. (Neurosurgery, 5: 614--616, 1979).
本文报告了1例接受抗凝治疗的患者发生腰椎硬脊膜下血肿的病例。迄今为止，文献中已报道19例硬脊膜下血肿病例，大多数发生于有出血倾向的患者及腰椎穿刺后。我们的病例是第三例报道与抗凝治疗相关的。该血肿位于腰骶部，与通常位于背腰部的情况不同。文中讨论了腰椎穿刺后发生硬脊膜下血肿的可能机制。早期减压性椎板切除术及血肿清除术是推荐的治疗方法，以尽可能获得最佳神经功能恢复。（《神经外科学》，5: 614 - 616, 1979）
