Spontaneous spinal epidural hematoma is an uncommon cause of cord compression in children, especially in infants. An 8-month-old infant was admitted to our hospital for a 40-day history of paraparesis in the lower extremities. This rapidly progressed to paraparesis with an inability to move the lower extremities. MRI of the cervicothoracic spine revealed an epidural mass with compression of the spinal cord. The infant underwent C7-T3 total laminectomies. The pathology and postoperative MRI confirmed spinal epidural hematoma from a vascular malformation. We present the case to highlight the significance of recognizing this chronic spontaneous spinal epidural hematoma and discuss the diagnosis, treatment options and prognosis. Ann Saudi Med 2011; 31(3): 301-304 PMID: 21242640 DOI: 10.4103/0256-4947.75586.
展开▼
机译:自发性脊髓硬膜外血肿是儿童,尤其是婴儿中脐带受压的罕见原因。一名8个月大的婴儿因下肢截瘫40天的病史入院。这种情况迅速发展为截瘫,无法移动下肢。颈胸椎的MRI显示硬膜外包块伴有脊髓受压。婴儿接受了全部C7-T3椎板切除术。病理和术后MRI证实了来自血管畸形的脊髓硬膜外血肿。我们介绍此病例以突出认识这种慢性自发性脊柱硬膜外血肿的重要性,并讨论诊断,治疗选择和预后。 Ann Saudi Med 2011; 31(3):301-304 PMID:21242640 DOI:10.4103 / 0256-4947.75586。
展开▼