Senelick R C, Norwood C W, Cohen G H
Neurology. 1976 Mar;26(3):213-25. doi: 10.1212/wnl.26.3.213.
Severe back or radicular pain has previously been considered as the earliest and most prominent symptom in spinal epidural hematoma. In the patient described here, a "painless" spinal epidural hematoma developed during anticoagulant therapy. The absence of pain delayed recognition of the lesion and institution of therapy. The absence of pain is distinctively rare, but should not delay appropriate diagnostic procedures when other signs suggest the presence of a spinal epidural hematoma.
严重的背部或神经根性疼痛此前一直被视为脊髓硬膜外血肿最早且最突出的症状。在此描述的患者中，在抗凝治疗期间出现了“无痛性”脊髓硬膜外血肿。疼痛的缺失延迟了对病变的识别和治疗的开始。无痛情况极为罕见，但当其他体征提示存在脊髓硬膜外血肿时，不应延迟进行适当的诊断程序。
