Acute spontaneous thoracic epidural hematoma associated with intraspinal lymphangioma: A case report  

作　　者：Kai-Jay Chia Li-Han Lin Ming-Tse Sung Tsung-Ming Su Jin-Fu Huang Hsiang-Lin Lee Wen-Wei Sung Tsung-Han Lee 

机构地区：[1]Division of Neurosurgery,Department of Surgery,Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine,Kaohsiung 83301,Taiwan [2]Department of Radiology,Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine,Kaohsiung 83301,Taiwan [3]Department of Pathology,Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine,Kaohsiung 83301,Taiwan [4]Department of Surgery,Chung Shan Medical University Hospital,Taichung 40201,Taiwan [5]Department of Urology,Chung Shan Medical University Hospital,Taichung 40201,Taiwan

出　　处：《World Journal of Clinical Cases》2021年第14期3411-3417,共7页世界临床病例杂志

摘　　要：BACKGROUND Spontaneous spinal epidural hematoma is a rare neurosurgical emergency.CASE SUMMARY A 53-year-old healthy woman suffered from complete paraplegia in both legs and loss of all sensation below the xiphoid process.She was diagnosed as acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma.The primary lab survey showed all within normal limits.Presence of a posteriorly epidural space-occupying lesion at the T4-T8 level of the spinal canal was confirmed on magnetic resonance imaging.A decompressive laminectomy was performed from the T4 to T7 levels at the sixth hour following abrupt onset of complete paraplegia.The lesion was confirmed as lymphangioma.This patient recovered well within one month.CONCLUSION This study reports a case of acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma with well recovery after surgical intervention.

关 键 词：LYMPHANGIOMA Epidural hematoma INTRASPINAL PARAPLEGIA Decompressive laminectomy Case report 

分 类 号：R739.42[医药卫生—肿瘤]