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Delayed Onset Neurological Deterioration due to a Spinal Epidural Hematoma after a Spine Fracture

机译:脊柱骨折后因脊髓硬膜外血肿引起的迟发性神经系统恶化

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摘要

There are no reports of a 7-day delay in the onset of neurological deterioration because of a spinal epidural hematoma (SEH) after a spinal fracture. A hematoma was detected from the T12 to L2 area in a 36-year-old male patient with a T12 burst fracture. On the same day, the patient underwent in situ posterior pedicle instrumentation on T10-L3 with no additional laminectomy. On the seventh postoperative day, the patient suddenly developed weakness and sensory changes in both extremities, together with a sharp pain. A MRI showed that the hematoma had definitely increased in size. A partial laminectomy was performed 12 hours after the onset of symptoms. Two days after surgery, recovery of neurological function was noted. This case shows that spinal surgeons need to be aware of the possible occurrence of a delayed aggravated SEH and neurological deterioration after a spinal fracture.
机译:没有报告称由于脊柱骨折后发生脊柱硬膜外血肿(SEH)而导致神经功能恶化延迟7天。在一名T12爆裂性骨折的36岁男性患者中,从T12到L2区域检测到血肿。在同一天,该患者在T10-L3上进行了原位后路椎弓根器械治疗,而没有进行其他椎板切除术。术后第七天,患者突然出现四肢无力和感觉改变,并伴有剧烈疼痛。 MRI显示血肿的大小肯定增加了。症状发作后12小时进行部分椎板切除术。手术后两天,注意到神经功能恢复。这种情况表明,脊柱外科医师需要意识到脊柱骨折后延迟性SEH加重和神经系统恶化的可能发生。

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