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首页> 外文期刊>Surgical neurology >Spinal subdural hematoma following craniotomy: case report.
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Spinal subdural hematoma following craniotomy: case report.

机译：开颅手术后脊髓硬膜下血肿：病例报告。

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BACKGROUND: Spinal subdural hematomas (SSH) are a rare cause of spinal cord compression. SSH following clipping of an aneurysm has only been reported once. We now report such a case and discuss the mechanism of SSH development after aneurysmal neck clipping. CASE DESCRIPTION: A 32-year-old man complained of lumbago 7 days after craniotomy for the clipping of an aneurysm. Neurologic examination revealed no abnormality, but magnetic resonance imaging (MRI) demonstrated a lumbosacral spinal subdural hematoma. He received conservative management and his lumbago showed improvement. An MRI taken 19 days after surgery revealed a residual hematoma. CONCLUSION: The downward movement of blood from the cranial subdural compartment under the influence of gravity is the most appropriate explanation for SSH following craniotomy.
机译：背景：脊髓硬膜下血肿（SSH）是脊髓压迫的罕见原因。仅报告过一次动脉瘤修剪后的SSH。我们现在报告这种情况，并讨论动脉瘤性颈夹闭后SSH发育的机制。病例描述：一名32岁的男子在开颅手术后7天抱怨因腰动脉瘤的切除而腰痛。神经系统检查未发现异常，但磁共振成像（MRI）显示腰s部硬脊膜硬膜下血肿。他接受了保守的管理，腰痛得到了改善。手术后19天进行的MRI检查显示有残留血肿。结论：在重力作用下血液从颅下硬膜下腔向下运动是开颅手术后SSH的最恰当解释。

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