Can spontaneous spinal epidural haematoma be managed safely without operation? a report of four cases

被引:74
作者
Duffill, J
Sparrow, OC
Millar, J
Barker, CS
机构
[1] Wessex Neurol Ctr, Dept Neurosurg, Southampton SO16 6YD, Hants, England
[2] Wessex Neurol Ctr, Dept Neuroradiol, Southampton SO16 6YD, Hants, England
关键词
haematoma; epidural; spine; treatment outcome;
D O I
10.1136/jnnp.69.6.816
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The presentation, investigation, and management of four patients with spontaneous spinal epidural haematoma is presented. In each case the diagnosis was made by MRI. At the time of diagnosis spontaneous recovery had started in each patient and therefore they were all treated conservatively. In each case follow up MRI confirmed rapid reduction in the size of the haematoma and no underlying cause was demonstrated. The presentation, diagnosis, and rationale for treatment are discussed. Conservative treatment is safe in some cases of spinal epidural haematoma if early neurological recovery has started.
引用
收藏
页码:816 / 819
页数:4
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