Spontaneous spinal epidural hematoma: Early surgical intervention provides ideal neurological outcome

被引：2

作者：

Chong, Kian-Hwee ^{[1
]}

Hsu, Hsien-Ta ^{[2
]}

Tu, Chao-Wei ^{[2
]}

Huang, Kuo-Feng ^{[2
,3
]}

机构：

[1] Taipei Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Surg, Div Gen Surg, New Taipei, Taiwan

[2] Taipei Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Surg, Dept Neurosurg, New Taipei, Taiwan

[3] Tzu Chi Univ, Sch Med, Hualien 97004, Taiwan

来源：

FORMOSAN JOURNAL OF SURGERY | 2014年 / 47卷 / 04期

关键词：

decompression laminectomy; magnetic resonance imaging (MRI); spontaneous spinal epidural hematoma (SSEH); surgical outcome;

D O I：

10.1016/j.fjs.2014.03.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Spontaneous spinal epidural hematoma (SSEH) is an unusual cause of spinal cord compression, requiring emergency diagnosis and treatment. We report a case of SSEH, and discuss its early diagnosis and rapid surgical intervention. A 46-year-old man was brought to our emergency department because of sudden-onset, rapidly-progressive paraplegia and acute urinary retention. Magnetic resonance imaging revealed an epidural mass lesion in the posterior epidural space from T9 to T11 in the spinal canal. The patient underwent emergency decompression laminectomy within 4 hours of symptom onset and recovered fully within 1 week. In patients with SSEH, early surgery is crucial to ensure a favorable outcome. Copyright (C) 2014, Taiwan Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.

引用

页码：156 / 159

页数：4

共 14 条

[1] Acute nontraumatic spinal epidural hematomas - An important differential diagnosis in spinal emergencies [J].

Alexiadou-Rudolf, C ;

Ernestus, RI ;

Nanassis, K ;

Lanfermann, H ;

Klug, N .

SPINE, 1998, 23 (16) :1810-1813

[2] Post-traumatic Lumbar Epidural Hematoma with Neurology: Report of 1 Case [J].

Cha, Jae-Ryong ;

Park, Ki-Bong ;

Ko, Sang-Hun .

ASIAN SPINE JOURNAL, 2011, 5 (02) :130-132

[3] Spontaneous spinal epidural haematoma causing rapid flaccid paraplegia in a healthy 25-year-old patient [J].

Colsy, M. ;

Argote, C. ;

Raimbault, M. ;

Touchard, P. .

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 2007, 26 (06) :608-611

[4] SPONTANEOUS SPINAL SUBDURAL HEMATOMA: CASE STUDY [J].

Dampeer, Rebecca Ynne .

AMERICAN JOURNAL OF CRITICAL CARE, 2010, 19 (02) :191-193

[5] Spontaneous spinal epidural hematoma: A case report [J].

Dinsmore, AJ ;

Leonard, RB ;

Manthey, D .

JOURNAL OF EMERGENCY MEDICINE, 2005, 28 (04) :423-426

[6] THE SPONTANEOUS SPINAL EPIDURAL HEMATOMA - A STUDY OF THE ETIOLOGY [J].

GROEN, RJM ;

PONSSEN, H .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 1990, 98 (2-3) :121-138

[7] Spontaneous spinal epidural hematoma: Findings at MR imaging and clinical correlation [J].

Holtas, S ;

Heiling, M ;

Lonntoft, M .

RADIOLOGY, 1996, 199 (02) :409-413

[8] Epidural hematoma mimicking transverse myelitis in a patient with primary antiphospholipid syndrome [J].

Kim, W. J. ;

Hong, Y. K. ;

Yoo, Wan-Hee .

RHEUMATOLOGY INTERNATIONAL, 2008, 28 (07) :709-712

[9] Spinal hematoma: a literature survey with meta-analysis of 613 patients [J].

D. Kreppel ;

G. Antoniadis ;

W. Seeling .

Neurosurgical Review, 2003, 26 (1) :1-49

[10] SURGICAL-MANAGEMENT OF SPINAL EPIDURAL HEMATOMA - RELATIONSHIP BETWEEN SURGICAL TIMING AND NEUROLOGICAL OUTCOME [J].

LAWTON, MT ;

PORTER, RW ;

HEISERMAN, JE ;

JACOBOWITZ, R ;

SONNTAG, VKH ;

DICKMAN, CA .

JOURNAL OF NEUROSURGERY, 1995, 83 (01) :1-7

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