关键词: 血肿, 解剖学, 硬膜外

Abstract:

Objective　To explore the etiology, clinical presentation and treatment of spontaneous spinal epidural hematoma (SSEH).　Methods　10 cases presented with paraplegia were diagnosed as SSEH between 1995 to 2010 and received surgical operation. The characteristics of onset, clinical presentation, diagnosis, treatment and results of follow-up were analyzed.　Results　Followed-up for 6-18 months, 2 cases resulted in good recovery of nervous disfunction, while 8 cases showed no significant amelioration in spinal cord function. Conclusions　The etiology of SSEH remains indefinite and the prognosis is usually disappointed. Permanent spinal cord disfunction is seemly inevitable in most cases. Some anatomic reasons, such as epidural vascular malformation, may play an important role in the outbreak of SSEH

Key words:  Hematoma, Anatomy, Spinal epidural