期刊文献+

自发性硬脊膜外血肿24例

暂未订购
导出
摘要 目的探讨自发性硬脊膜外血肿的病因、临床特征、治疗及影响预后的因素。方法对24例自发性硬脊膜外血肿行手术治疗,并对病历资料进行回顾性分析。结果出院后随访3个月至5年,8例患者术后完全恢复,12例患者术后下肢肌力明显恢复,4例因血肿压迫时间较长,未及时手术而致术后双下肢瘫痪及大小便失禁仍未恢复。结论自发性硬脊膜外血肿的早期诊断主要依据临床特征和MRI提示的病变部位和范围。一旦确诊,尽早手术解除脊髓压迫是病情恢复的关键。
出处 《广东医学》 CAS CSCD 北大核心 2013年第9期1417-1419,共3页 Guangdong Medical Journal
  • 相关文献

参考文献13

  • 1SHIN J J, KUH S U, CHO Y E. Surgical managemem of sponta- neous epidural hematoma[ J]. Eur Spine J, 2006, 15(6) : 998 - 1004.
  • 2JEA A, MOZA K, LEVI A D, et al. Spontaneous spinal epidural hematoma during pregnancy: case report and literature review [ J ]. Neurosurgery, 2005, 56 (5) : E1156.
  • 3PATEL H, BOAZ J C, PHILLIPS J P, et al. Spontaneous spinal epidural hematoma in children [ J]. Pediatr Neurol, 1998, 19 (4) : 302 -307.
  • 4GROEN R J, VAN ALPHEN H A. Opemtive treatment of spontaneous spinal epiduml hematomas : a study of the factors determining postop- erative outcome[J]. Neurosurgery, 1996, 39(3): 494-508.
  • 5温新东,郭献日,李建策,王美豪,钟鸣.自发性脊髓硬膜外血肿的MRI表现[J].中华放射学杂志,2003,37(5):399-401. 被引量:13
  • 6徐文坚,徐爱德,Sebastian Lange.急性硬脊膜外血肿的MRI研究[J].中华放射学杂志,2003,37(10):912-916. 被引量:19
  • 7FOO D, ROSSIER A B. Preoperative neurological status in predic- ting surgical outcome of spinal epidural hematomas[ J]. Surg Neu- rol, 1981, 15(5) : 389 -401.
  • 8LAWTON M T, PORTER R W, HEISERMAN J E, et al. Surgi-eal management of spinal epidural hematoma : relationship between surgical timing and neurological outcome[ J]. J Neurosurg, 1995, 83(1): 1-7.
  • 9LIAO C C, LEE S T, HSU W C, et al. Experience in the surgical management of spontaneous spinal epidural hematoma[J]. J Neu- rosurg, 2004, 100(1 suppl spine): 38-45.
  • 10CLARKE D B, BERTRAND G, TAMPIERI ID. Spontaneous spi- nal epidural Hematoma causing paraplegia : resolution and recovery without surgical decompression [ J ]. Neurosurgery, 1992, 30 ( 1 ) : 108 -111.

二级参考文献20

  • 1Gundry CR, Heithoff KB. Epidural hematoma of the lumbar spine: 18 surgically confirmed cases, Radiology, 1993,187:427-431.
  • 2Vazquez-Barquero A, Abascal F, Garcia-Valtuille R, et al. Chronic nontramatic spinal epidural hematoma of the lumbar spine: MRI diagnosis. Eur Radiol, 2000,10:1602-1605.
  • 3Sklar EM, Post JM, Falcone S. MRI of acute epidural hematomas. J Comput Assist Tomogr, 1999,23:238-243.
  • 4Holtas S, Heiling M, Loentoft M. Spontaneous spinal epidural hematomas: findings at MR imaging and clinical correlation. Radiology, 1996,199:409-413.
  • 5Crisi G, Sorgato P, Colombo A, et al. Gadolinium-DTPA-enhanced MR imaging in the diagnosis of spinal epidural haematoma: report of a case. Neuroradiology, 1990,32:64-66.
  • 6Chen CJ, Fang W, Chen CM, et al. Spontaneous spinal epidural haematomas with repeated remission and relapse. Neuroradiology, 1997,39:737-740.
  • 7Caldemeyer KS, Mocharla R, Moran CC, et al. Gadolinium enhancement in the center of a spinal epidural hematoma in a hemophiliac. J Comput Assist Tomogr, 1993,17:321-323.
  • 8Tillich M, kammerhuber F, Reittner P, et al. Chronic spinal subdural haematoma associated with intracranial subdural haematoma: CT and MRI. Neuroradiology, 1999,41:137-139.
  • 9Porto L, Kieslich M, Turowski B, et al. Spinal subdural haematoma mimicking tethered cord after posterior fossa open surgery. Neuroradiology, 2002,44:415-417.
  • 10Kirsch EC, Khangure MS, Holthouse D, et al. Acute spontaneous spinal subdural haematoma: MRI features. Neuroradiology, 2000,42:586-590.

共引文献29

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部