Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review

IF 0.3 Q4 SURGERY Indian Journal of Neurosurgery Pub Date : 2023-11-23 DOI:10.1055/s-0043-1776360
E. Garbin, N. Cavasin, S. Magrini
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引用次数: 0

Abstract

Abstract Spontaneous spinal epidural hematoma (SEH) represents an extremely rare cause of spinal cord compression. Symptomatic pure extradural spinal AVMs (E-sAVM), in the absence of cavernous hemangiomas, are very rare and have rarely been reported. The clinical presentation of SEH caused by E-sAVM is often nonspecific and may lead to delayed diagnosis and treatment. We report the case of a 16-year-old adolescent girl who presented with paraparesis that rapidly evolved in paraplegia. Emergent magnetic resonance imaging (MRI) of the whole spine showed a posterior SEH, extending from C7 to T2, highly suspicious for the presence of an underlying AVM. The patient underwent emergent C7–T2 laminoplasty. An E-sAVM was intraoperatively found and subsequently excised. The patient was discharged with no neurological defects. E-sAVMs are extremely rare pathologies; they represent an extremely rare cause of spinal cord compression. If immediately diagnosed and treated, most patients recover with good prognosis.
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纯硬膜外脊髓动静脉畸形引起的脊髓硬膜外血肿:病例报告和文献综述
摘要 自发性脊髓硬膜外血肿(SEH)是脊髓受压的一个极其罕见的原因。在没有海绵状血管瘤的情况下,有症状的单纯硬膜外脊髓动静脉畸形(E-sAVM)非常罕见,也很少有报道。由 E-sAVM 引起的 SEH 的临床表现通常没有特异性,可能导致诊断和治疗的延误。我们报告了一例 16 岁少女的病例,她出现偏瘫,并迅速发展为截瘫。整个脊柱的紧急磁共振成像(MRI)显示,后部 SEH 从 C7 延伸至 T2,高度怀疑存在潜在的 AVM。患者紧急接受了 C7-T2 椎板成形术。术中发现了E-sAVM,随后进行了切除。患者出院时未发现神经系统缺陷。E-sAVM 是一种极其罕见的病理现象,是脊髓受压的一个极其罕见的原因。如果能及时诊断和治疗,大多数患者都能恢复健康,预后良好。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
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