Spontaneous spinal epidural hematoma: A case report

被引:25
作者
Dinsmore, AJ [1 ]
Leonard, RB [1 ]
Manthey, D [1 ]
机构
[1] Wake Forest Univ, Baptist Med Ctr, Dept Emergency Med, Winston Salem, NC 27157 USA
关键词
epidural hematoma; spontaneous hematoma; anticoagulant complications;
D O I
10.1016/j.jemermed.2004.11.023
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 59-year-old man presented to the emergency department (ED) the day after a minor motor vehicle crash for evaluation of bilateral shoulder pain. He underwent ED evaluation for his back pain two more times before it was found that he had a spontaneous spinal epidural hematoma (SSEH). On the third visit, the patient had waxing and waning neurologic symptoms including lower extremity weakness and urinary retention. The diagnosis was made by MRI, and the patient was successfully treated with cervical hemilaminectomy at the cervicothoracic junction for evacuation of the epidural hematoma 5 days after the onset of back pain. (c) 2005 Elsevier Inc.
引用
收藏
页码:423 / 426
页数:4
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