Acute spontaneous cervical spinal epidural hematoma diagnosis and treatment.docVIP

 PAGE \* MERGEFORMAT 7 Acute spontaneous cervical spinal epidural hematoma diagnosis and treatment [Keywords:] diagnosis and treatment of intracranial epidural hematoma Most occurred in intracranial epidural hematoma, occurred in the spine are rare, acute clinical spontaneous cervical epidural hematoma is more rare, in the event, many patients with spinal cord function caused serious damage in a short time can be loss of sensory motor function occurred, the disease progresses rapidly, easily misdiagnosed, if not promptly diagnosed and to be addressed can lead to permanent disability or life threatening. undergraduate from 2005 to 2008 were treated in 5 cases, are as follows. 1 Clinical data 1.1 General information on this group of patients a total of 5 cases, 3 males and 2 females, aged 18 to 40 years, mean 28 years, except 1 case history before the onset of a cervical massage, no obvious prior to the onset of other incentives to neck pain onset was followed by the trunk and limb pain, limb gradually developed to sense movement disorders. onset to admission time of 4 h ~ 7 days. admission examination: a clear consciousness, there are limited neck mobility, illness plane segment The following sensory dysfunction, upper limbs in 1 case of grade , grade 3 cases, 1 case, both upper limbs weakened physiological reflex, pathological reflex was not elicited, lower extremity sensory, motor disappeared, normal or reduced muscle tension, physiological reflex and no pathological reflex leads, all patients underwent CT or MRI examination, CT corresponding segments of the performance of high density epidural spinal cord compression displacement, MRI T1 weighted image in the hematoma showed signal strength, etc., T2-weighted as the hematoma showed low signal or mixed signal, hematoma fusiform, involving 1 to 5 vertebrae, spinal cord compression evident. 1.2 Treatment of all cases were diagnosed in this group underwent emergency surgery after using the poster