台灣外科醫學會雜誌

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篇名	Spontaneous spinal epidural hematoma: Early surgical intervention provides ideal neurological outcome
作者	Kian-Hwee Chong, Hsien-Ta Hsu, Chao-Wei Tu, Kuo-Feng Huang
卷期/出版年月	47卷4期 (2014/8)
頁次	156-159
摘要	Spontaneous spinal epidural hematoma (SSEH) is an unusual cause of spinal cord compression, requiring emergency diagnosis and treatment. We report a case of SSEH, and discuss its early diagnosis and rapid surgical intervention. A 46-year-old man was brought to our emergency department because of sudden-onset, rapidly-progressive paraplegia and acute urinary retention. Magnetic resonance imaging revealed an epidural mass lesion in the posterior epidural space from T9 to T11 in the spinal canal. The patient underwent emergency decompression laminectomy within 4 hours of symptom onset and recovered fully within 1 week. In patients with SSEH, early surgery is crucial to ensure a favorable outcome.
關鍵詞	decompression laminectomy;magnetic resonance imaging (MRI);spontaneous spinal epidural hematoma (SSEH);surgical outcome
分類	Case Report