自发性脊髓硬膜外血肿1例  

One case of spontaneous spinal epidural hematoma

作　　者：赵先兴 孙洪扬 武津成 陈梅 王贤军[2] ZHAO Xianxing;SUN Hongyang;WU Jincheng;CHEN Mei;WANG Xianjun(School of Clinical Medicine,Shandong Second Medical University,Weifang 261000,China;Department of Neurology,Linyi People’s Hospital,Linyi 276000,China)

机构地区：[1]山东第二医科大学临床医学院,潍坊261000 [2]临沂市人民医院神经内科

出　　处：《中国神经精神疾病杂志》2024年第12期750-752,共3页Chinese Journal of Nervous and Mental Diseases

摘　　要：自发性脊髓硬膜外血肿(spontaneous spinal epidural hematoma,SSEH)是一种以颈肩部或腰背部疼痛急性发作为首发症状伴脊神经根或脊髓受压迫症状的临床罕见疾病。本文报道1例71岁SSEH女性患者,因“颈肩部疼痛伴右侧肢体无力3 h”入院,经颈椎MRI诊断为SSEH。给予药物治疗后,患者获得了良好的临床疗效。SSEH早期症状缺乏特异性,易误诊或漏诊。本文结合相关文献阐述其诊断及治疗策略,以期提高临床工作者对该疾病的认识及诊治能力。Spontaneous spinal epidural hematoma(SSEH)is a rare clinical disease characterized by acute onset of neck,shoulder,or lumbar back pain accompanied by compression of the spinal nerve roots or spinal cord.This article reports a 71 year old female patient with SSEH who was admitted to the hospital with“neck and shoulder pain accompanied by right limb weakness for 3 hours”,and was diagnosed with SSEH by cervical magnetic resonance imaging(MRI).After drug treatment,the patient achieved good clinical outcomes.The early symptoms of SSEH lack specificity and are prone to misdiagnosis or missed diagnosis.This case report discribe its diagnosis and treatment strategies in combination of relevant literature in order to improve clinical workers’understanding and diagnosis and treatment capabilities of this disease.

关 键 词：自发性脊髓硬膜外血肿 脊髓压迫 偏瘫 颈椎MRI 治疗策略 

分 类 号：R744[医药卫生—神经病学与精神病学]