自发性椎管内硬膜外血肿1例报告并文献复习

SPONTANEOUS INTRASPINAL EPIDURAL HEMATOMA:A CASE REPORT AND LITERATURE REVIEW

目的提高对自发性椎管内硬膜外血肿的认识。方法回顾性分析1例自发性椎管内硬膜外血肿病人的诊疗过程,并进行文献复习。结果病人,女,38岁,颈痛伴双上肢疼痛、无力,进行性加重,术前颈椎MRI检查示椎管内硬膜外血肿,行椎板切除减压血肿清除术治疗,术后病人症状逐渐缓解,术后半年随访病人神经功能完全恢复。结论 MRI是诊断椎管内硬膜外血肿的首选检查方法,及早手术减压、清除血肿有利于病人神经功能的恢复。

Objective To improve the understanding of spontaneous intraspinal epidural hematoma. Methods A retrospective analysis was performed for the diagnosis and treatment of one patient with spontaneous intraspinal epidural hematoma,and a literature review was also performed. Results A female patient,aged 38 years,had neck pain and pain and weakness of the upper extremities with progressive aggravation.Preoperative cervical MRI showed intraspinal epidural hematoma.Laminectomy was performed for hematoma clearance,and the patient’s symptoms were gradually relieved after surgery.Follow-up at half a year after surgery showed full recovery of neurological function. Conclusion MRI is the preferred method for the diagnosis of intraspinal epidural hematoma.Early decompression surgery for hematoma clearance helps with the recovery of neurological function.