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首页> 外文期刊>Journal of Korean Neurosurgical Society >Spontaneous Spinal Epidural Hematoma in an Infant : A Case Report and Review of the Literature
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Spontaneous Spinal Epidural Hematoma in an Infant : A Case Report and Review of the Literature

机译：婴儿自发性脊髓硬膜外血肿：一例报道并文献复习

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摘要

Spontaneous spinal epidural hematoma (SSEH) is rare in children, especially in infants, in whom only 12 cases have been reported. Because of the nonspecificity of presenting symptoms in children, the diagnosis may be delayed. We report herein a case of SSEH in a 20-month-old girl who initially presented with neck pain, and developed lower extremity motor weakness and symptoms of neurogenic bladder 2 weeks prior to admission. The magnetic resonance imaging showed an epidural mass lesion extending from C7 to T4, and the spinal cord was severely compressed by the mass. After emergency decompressive surgery the neurologic function was improved immediately. Two months after surgery, the neurological status was normal with achievement of spontaneous voiding. We suggest that surgical intervention can provide excellent prognosis in case of SSEH in infants, even if surgery delayed.
机译：自发性脊髓硬膜外血肿（SSEH）在儿童中很少见，特别是在婴儿中，仅报道了12例。由于儿童表现症状的非特异性，诊断可能会延迟。我们在此报告了一名20个月大女孩的SSEH病例，该女孩最初表现为颈部疼痛，入院前2周出现下肢运动无力和神经源性膀胱症状。磁共振成像显示硬膜外肿块从C7延伸至T4，脊髓被肿块严重压迫。紧急减压手术后，神经功能立即得到改善。手术两个月后，神经系统状况正常，自发排尿。我们建议即使在手术延迟的情况下，对于SSEH的婴儿，手术干预也可以提供良好的预后。

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