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Rehabilitation Practice and Science

Translated Title

急性自發性頸椎硬腦膜外血腫致右側肢體無力：病例報告

Abstract

Spontaneous spinal epidural hematoma is a rare disease. The cardinal presentations include acute unilateral radicular pain, corresponding dermatomal hypesthesia, hemiparesis, hemiplegia, paraparesis, paraplegia, and sphincter dysfunction. If the initial symptoms include acute hemiplegia, it is important to differentiate spontaneous spinal epidural hematoma from stroke, tumor, infection, arteriovenous malformation, or autoimmune diseases.We report the case of a 42-year-old man, who visited the emergency department in September, 2006, with the chief complaints of right limbs weakness and neck pain. After the initial work-up, the impression was ischemic stroke. He was admitted for conservative treatment, but his neurological status progressively deteriorated. A cervical MRI showed an epidural hematoma compressing the cervical cord. The patient had emergency decompression surgery. Muscle power in the right limbs improved after surgery, and he could independently perform all activities of daily living after rehabilitative training. The prognosis of acute spontaneous spinal epidural hematoma depends on early diagnosis and proper management. Comprehensive rehabilitation also plays a key role in regaining function in this patient population.

Language

Traditional Chinese

First Page

193

Last Page

198

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