Miyagi Y, Miyazono M, Kamikaseda K
Department of Neurosurgery, Kaizuka Hospital, Fukuoka, Japan.
J Neurosurg. 1998 May;88(5):909-11. doi: 10.3171/jns.1998.88.5.0909.
A 16-year-old boy developed acute neck pain and severe quadriparesis after mild rotatory movement of his neck. Magnetic resonance imaging revealed a cervical epidural hematoma that resolved spontaneously within a few days. Vertebral angiography demonstrated a small vascular malformation in the upper cervical epidural space. The vascular mass on the dural surface was totally resected and confirmed to be an arteriovenous malformation. This case represents the importance of including routine angiography in designing therapeutic strategy for cases of spinal epidural hematoma with spontaneous resolution.
一名16岁男孩在颈部轻度旋转运动后出现急性颈部疼痛和严重四肢瘫。磁共振成像显示颈段硬膜外血肿，数天内自发消退。椎动脉造影显示颈段硬膜外间隙有一个小的血管畸形。硬膜表面的血管团被完全切除，经证实为动静脉畸形。该病例表明，对于自发消退的脊髓硬膜外血肿病例，在制定治疗策略时纳入常规血管造影具有重要意义。
