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Rehabilitation Practice and Science

Translated Title

兒童自發性脊髓硬膜外血腫：病例報告

Abstract

Spontaneous spinal epidural hematoma is a rare disease and may result in permanent neurological damages. The main causes include anticoagulant therapy, vascular anomalies, hypertension, blood dyscrasias, drug abuse, neoplasm, iatrogenic epidural anesthesia or rarely spinal surgery. Spontaneous spinal epidural hematoma generally occurs in adults between ages of 40 to 50 and rarely appears in children. We reported a 5-year-old girl who was admitted with severe acute abdominal pain as the initial chief complaint. Two days after admission, the patient had bilateral legs weakness progressively; then a thoracic spine epidural hematoma was diagnosed by spinal magnetic resonance imaging examination. After emergency decompressive operation and postoperative rehabilitation, the patient had good neurological and functional recovery. Although a new epidural hematoma at the same spinal level was noted in the follow up magnetic resonance imaging 3 months later, the patient didn't have any neurological deterioration. Because this disease is rare and early diagnosis and treatment are very important for patient's functional outcome, we would like to report this case for your reference.

Language

Traditional Chinese

First Page

33

Last Page

39

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