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自发性椎管内硬膜外血肿(spontaneous spinal epidural hematoma,SSEH)在临床较为少见,原因不明,临床易漏诊误诊,并可能导致永久性神经功能损害。2014年9月~2015年9月,我院脊柱骨科收治了2例SSEH患者,报道如下。病例1,女,76岁,因“突发双下肢瘫痪5d”于2014年9月9日入院。患者于5d前无明显诱因突发胸背部疼痛,后出现双下肢感觉及运动消失,伴大小便失禁。遂至当地医院住院治疗,MRI检查提示T7~L1椎管后部硬膜外长梭形病变,考虑血管畸形或血管瘤破裂出血伴血肿形成可能
Spontaneous spinal epidural hematoma (SSEH) is rare in clinic, its cause is unknown, clinical misdiagnosis is misdiagnosed, and may result in permanent neurological damage. From September 2014 to September 2015, two patients with SSEH were admitted to the Department of Orthopedics and Spine, which is reported as follows. Case 1, female, 76 years old, due to “sudden double lower limb paralysis 5d ” was admitted on September 9, 2014. Patients with no obvious incentive before 5d chest and back pain, after the emergence of both lower extremity feeling and loss of movement, with incontinence. Then to the local hospital for treatment, MRI examination prompted T7 ~ L1 posterior spinal epidural spindle fusiform lesions, consider vascular malformations or hemangiomas ruptured with hematoma may form