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首页> 外文期刊>Spine >Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases.
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Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases.

机译：未经手术解决自发性脊柱硬膜外血肿：2例报道。

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STUDY DESIGN: Case report. OBJECTIVE: To report two cases of spontaneous spinal epidural hematoma that completely resolved, clinically and radiographically, without surgical treatment. SUMMARY OF BACKGROUND DATA: The treatment of spinal epidural hematoma is usually surgical. Spontaneous spinal epidural hematoma is an uncommon phenomenon and may be of uncertain cause. METHODS: One patient with acute onset of complete quadriplegia and another with complete paraplegia caused by spontaneous spinal epidural hematoma were treated without surgery. RESULTS: Both patients recovered nearly completely with respect to their neurologic function at 3-month follow-up. No source of hematoma was ever identified. CONCLUSIONS: Spontaneous spinal epidural hematoma should be considered in the differential diagnosis of sudden onset of spinal cord compression in association with back pain. Patients initially presenting with severe neurologic dysfunction are potential candidates for conservative management if they demonstrate rapid and progressive improvement in neurologic function. Patients treated in this manner can have nearly complete restoration of function.
机译：研究设计：病例报告。目的：报告两例自发性脊柱硬膜外血肿，在临床和影像学上完全消退，无需手术治疗。背景资料摘要：脊柱硬膜外血肿的治疗通常是外科手术。自发性脊髓硬膜外血肿是一种罕见现象，可能原因不明。方法：1例因自发性脊柱硬膜外血肿引起的急性完全性四肢瘫痪和另一例完全性截瘫的患者未经手术治疗。结果：两名患者在3个月的随访中神经功能几乎完全恢复。从未发现血肿的来源。结论：自发性脊髓硬膜外血肿在鉴别脊髓突然受压并伴有背痛的发作时应予以考虑。如果最初表现出严重神经功能障碍的患者表现出神经功能的快速和逐步改善，则可能是保守治疗的潜在候选人。以这种方式治疗的患者可以具有几乎完全的功能恢复。

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