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摘要


自發性脊髓硬膜外血腫為一不常見、且會造成脊髓壓迫的疾病。雖然文獻上報導了諸多危險因子,但確實的成因尚未獲得證實,甚至許多此類患者並未被發現存有任何危險因子。若非具有高度警覺性,要早期正確診斷相當困難。如果臨床上疑有此病時,磁振造影還是最主要的診斷檢查方式。一但診斷確立,唯有當患者神經障礙很快且持續地改善,才能考慮是否採用保守治療,除此之外儘速手術解壓還是目前主要的治療方式。

關鍵字

脊椎 硬膜外血腫 自發性

並列摘要


Spontaneous spinal epidural hematoma is an uncommon cause of cord compression. Although there have been some risk factors reported, no one has proved to have a causal relationship. Some patients even had no significant risks found. Accurate diagnosis in early stages is difficult without high suspicion. Magnetic resonance imaging is the main diagnostic modality once clinically suspected. As the diagnosis established, early surgical decompression remains the major treatment. Conservative treatment should only be considered in the patient with rapid and constant improvement of neurological deficits.

並列關鍵字

Spine Epidural Hematoma Spontaneous

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