A Spontaneous Thoracic Spinal Epidural Hematoma Causing Hemiplegia and Back Pain

被引：0

作者：

Gulen, Bedia ^{[1
]}

Dundar, Tolga Turan ^{[2
]}

Sonmez, Ertan ^{[1
]}

Akpinar, Guleser ^{[3
]}

机构：

[1] Bezmialem Vakif Univ, Dept Emergency Med, Sch Med, Istanbul, Turkey

[2] Bezmialem Vakif Univ, Sch Med, Dept Neurosurg, Istanbul, Turkey

[3] Sisli Etfal Training & Res Hosp, Clin Emergency Med, Istanbul, Turkey

来源：

EURASIAN JOURNAL OF EMERGENCY MEDICINE | 2016年 / 15卷 / 04期

关键词：

Spinal epidural hematoma; back pain; hypoesthesia;

D O I：

10.5152/eajem.2016.87597

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Spontaneous spinal epidural hematoma (SEH) is an uncommon and emergency condition leading to spinal cord compression. Early diagnosis can be achieved by magnetic resonance imaging (MRI) or computed tomography, but preferably MRI. Surgical decompression is urgent and can relieve neurologic deficits. A 27-year-old man presented to the emergency department with back pain, which began approximately 10 days before. While waiting for the results of biological markers for differential diagnosis, right hemiplegia became evident. Epidural hematoma was revealed with thoracic and lumbar MRI at level T1-T2. Hematoma evacuation and decompression laminectomy was immediately performed.

引用

页码：196 / 198

页数：3

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