THE NATURAL RESOLUTION OF A LUMBAR SPONTANEOUS EPIDURAL HEMATOMA AND ASSOCIATED RADICULOPATHY

被引：36

作者：

KINGERY, WS

SEIBEL, M

DATE, ES

MARKS, MP

机构：

[1] Division of Physical Medicine and Rehabilitation, Department of Functional Restoration, Stanford University Medical School, Palo Alto, CA

[2] Rehabilitation Medicine Service, Veterans Affairs Medical Center, Palo Alto, CA

[3] Departments of Radiology and Neurosurgery, Stanford University Medical School, Stanford, CA

来源：

SPINE | 1994年 / 19卷 / 01期

关键词：

LUMBAR RADICULOPATHY; SPONTANEOUS EPIDURAL HEMATOMA;

D O I：

10.1097/00007632-199401000-00014

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This is a report of a 37-year-old man who, while lifting a heavy box, developed severe low-back pain radiating into the right anterior thigh. The only clinical signs were paraspinal muscle spasm and a positive femoral nerve stretch test on the right. An electromyographic study demonstrated denervation in the right L2, L3, and L4 myotomes and paraspinal muscles. Magnetic resonance imaging (MRI) showed a large L1-2 anterior epidural hematoma compressing the spinal cord. The patient's pain gradually improved with conservative management and he returned to light work after 4 weeks. Repeat electromyographic and MRI studies were normal, indicating a resolution of the radiculopathy and hematoma. The diagnosis and management of spontaneous epidural hematomas are discussed.

引用

页码：67 / 69

页数：3

共 11 条

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