Lloret-García J, Almenar-García V, Correa-Lacárcel J, García de Quirós J, Ruiz-García F
Servicio de Neurocirugía, Hospital General Universitario de Alicante, España.
Rev Neurol. 1997 Dec;25(148):1936-8.
We present two cases of spontaneous spinal extradural hematoma, which occurred in 1996 and were admitted to and operated on by our Department. Both patients were women. No cause for the bleeding was found in either case. Both presented with the site of the lesion in the thoracic spine, although at different levels. There was acute onset of the clinical condition. The best diagnostic procedure was MR. The treatment of choice was surgical and the results related to the rate of onset of the clinical picture and the time elapsed before operation.
The form of presentation is discussed, together with the importance of early diagnosis and the relation to emergency surgical treatment.
我们呈现两例自发性脊柱硬膜外血肿病例，这两例分别于1996年发生并由我科收治及进行手术。两名患者均为女性。两例均未发现出血原因。尽管病变部位在胸椎的不同节段，但两名患者均表现为胸椎病变。临床症状急性发作。最佳诊断方法是磁共振成像（MR）。首选治疗方法是手术，其结果与临床症状的发作速度以及手术前经过的时间有关。
讨论了临床表现形式，以及早期诊断的重要性和与急诊手术治疗的关系。
