PDF(Pubmed)
Abstract：
Spinal epidural hematoma is a rare clinical entity with an incidence of approximately one per 1,000,000 patients per year. Spinal epidural hematoma is a lesion that can cause spinal cord compression or cauda equina syndrome. We report a clinical case of а 69-year-old male patient who presented to the Neurosurgery Clinic of the General Hospital for Active Treatment \"Dobrich\" with pain and weakness in both legs for two months after falling in the bathroom. MRI revealed an L2-L3 fracture and a formation in the L2-L3 epidural space, which was compressing the nerve roots. An operative treatment was performed under general anesthesia and, intraoperatively, it was discovered that the formation was a hematoma. Aspiration of the hematoma and decompression of the spinal canal were performed. An L2-L3 stabilization with pedicle screws was done due to total laminectomy and potential instability. Postoperatively, the patient was mobilized on the day after intervention, and no surgery-related complications were observed. The patient experienced relief from his symptoms and was discharged on the fifth day. Six months post-surgery, the patient started to experience pain in his left leg. Radiography showed coxarthrosis on the left hip joint and the patient was referred to the orthopedics for further treatment.
摘要：
脊髓硬膜外血肿是一种罕见的临床实体，每年的发病率约为1/1,000,000名患者。脊髓硬膜外血肿是一种可引起脊髓压迫或马尾综合征的病变。我们报告了一例69岁的男性患者的临床病例，该患者在洗手间摔倒后两个月，向总医院神经外科诊所积极治疗“Dobrich”，双腿疼痛无力。MRI显示L2-L3骨折并在L2-L3硬膜外腔形成，压迫神经根。在全身麻醉下进行手术治疗，术中,发现形成是血肿。进行血肿抽吸和椎管减压。由于全椎板切除术和潜在的不稳定性，使用椎弓根螺钉进行了L2-L3稳定。术后,患者在干预后的第二天被动员起来，未观察到手术相关并发症。患者症状缓解，第五天出院。手术后六个月,病人开始感到左腿疼痛。X线摄影术显示左髋关节有髋关节病，患者被转诊至骨科接受进一步治疗。
