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Rehabilitation Practice and Science

Translated Title

肩頸疼痛爲起始症狀表現之自發性脊椎硬腦膜外出血：病例報告

Abstract

Spontaneous spinal epidural hemorrhage is a very rare disease, with an annual incidence estimated at one per million. Emergency surgery is indicated for a good prognosis, without which the death rate would be higher. Although the initial symptoms of cervical, thoracic, and back pain make it difficult to differentiate spontaneous spinal epidural hemorrhage from other common disease with similar symptoms, magnetic resonance imaging (MRI) is a highly sensitive diagnostic method.We report the case of a 22-year-old male patient who initially complained of pain over the left shoulder and left cervical area. After nine days, numbness was noted in his left lower leg, and both lower legs became weaker. MRI showed an abnormal signal intensity in the posterior region from the fifth cervical cord to the first thoracic cord. Because no definite etiology was found, spontaneous spinal epidural hemorrhage was suspected, and this diagnosis was confirmed by pathologic findings after surgery. The postsurgical rehabilitation training program included muscle strengthening, balance, ambulation, and activities of daily living (ADL). The patient recovered muscle function gradually and was eventually able to walk independently without a device. This report provides a reviewarticle of the literature and discussion of the diagnosis, pathology, treatment, and prognosis of this disorder.

Language

Traditional Chinese

First Page

251

Last Page

257

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