Cervical Spine Contusion Complicated by Intraspinal Subdural Hematoma and Brachial Plexus Injury: Report of a Case

一位25歲男性，在經歷一場機車的車禍後，立即產生了頸部疼痛，Horner's症候群以及單一肢體無力。這個病患從機車跌下後，撞到地面導致左臂過度伸展。頸部電腦斷層顯示從頸椎第二節到第七節的脊椎管內，有一個壓迫性腫塊。頸椎核磁共振縱切剖面的T1及T2影像，可以看出硬膜下出血已經明顯延伸至胸椎第十二節的地方。這一個案之所以特殊，主要是因爲病人並沒有產生任何有關於頸椎血腫所造成的神經學上的缺損。外傷引起頸椎硬膜下出血非常的罕見，目前在文獻上僅有兩例的個案報告。本篇報告建議若無顯著的神經學上缺損時，以保守性療法去處理外傷性頸椎硬膜下出血。

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並列摘要

A 25-year-old man developed neck pain, Horner's syndrome, and monoplegia immediately after a motorcycle accident. The patient had worn a safety helmet and had fellen from the motorcycle. Then he struck the ground with his left arm hyperextended. The computed tomogram of the neck showed a compressive, intraspinal mass extending cranio-caudally from C1 to C7. Sagittal T1- and T2-weighted magnetic resonance images of the spine revealed subdural bleeding, and marked the extension of the hematoma to the T1 level. This case was unusual in that the hematoma was located in the cervical region and the patient did not have any correlated neurologic deficits related to cervical spine injury with subdural hematoma. The only neurologic deficit was correlated to brachial plexus injury. Traumatic cervical subdural hematoma is very rare, and only two cases have been reported in the literature. This report suggests the possible role of conservative management for traumatic cervical subdural hematoma, especially when the patient has no significant neurologic deficits related to the hematoma.

並列關鍵字

cervical spine injury ； intraspinal hemorrhage

國際替代計量

Cervical Spine Contusion Complicated by Intraspinal Subdural Hematoma and Brachial Plexus Injury: Report of a Case

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