运动疗法治疗椎管内硬膜下出血疼痛患者1例

Intraspinal subdural hemorrhage pain treated with exercise therapy:Case report

患者女48岁,无明原因脊髓出血致双下肢不完全性的瘫痪,出现颈、肩、腰疼痛,二便不同程度功能障碍。MRI显示胸段经椎管内硬膜下出血,DSA未发现异常。神经外科讨论无手术指征,以保守治疗及康复训练治疗。患者疼痛评定分别采用45区体表面积图和简化MeGill疼痛问卷,运动和感觉采用美国脊柱损伤协会(ASIS)于2000年修订的第5版中运动与感觉检查项目与评分的方法,结果3者改善均明显。

A 48-year-old female patient presented with incomplete paraplegia due to spinal cord hemorrhage without any reason was transferred to our.department. She showed neck, shoulder, waist pain, and defecation and urine dysfunction. MRI showed intraspinal subdural hemorrhage in thoracic segment. Digital subtraction angiogaphy was negative and we decided to perform conservative and rahabilitation therapy because of no surgical indications. Pain evaluation was conducted according to the 45 Body Area Graph and Simple MeGill Pain Questionnaire, respectively; motor and sensor are evaluated by the method of American Spinal Injury Association （5th ed, 2000, USA）. The results showed obvious improvement.