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中华脑科疾病与康复杂志(电子版) ›› 2025, Vol. 15 ›› Issue (04) : 251 -253. doi: 10.3877/cma.j.issn.2095-123X.2025.04.010

病例报告

妊娠期自发性脊髓硬膜下出血一例报道
解加智, 朱博驰, 逄雯珺, 满玉红, 毛西京()   
  1. 130000 长春,吉林大学第二医院神经内科
  • 收稿日期:2024-11-16 出版日期:2025-08-15
  • 通信作者: 毛西京

Spontaneous spinal subdural hemorrhage during pregnancy: one case report

Jiazhi Xie, Bochi Zhu, Wen Pang   

  • Received:2024-11-16 Published:2025-08-15
引用本文:

解加智, 朱博驰, 逄雯珺, 满玉红, 毛西京. 妊娠期自发性脊髓硬膜下出血一例报道[J/OL]. 中华脑科疾病与康复杂志(电子版), 2025, 15(04): 251-253.

Jiazhi Xie, Bochi Zhu, Wen Pang. Spontaneous spinal subdural hemorrhage during pregnancy: one case report[J/OL]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2025, 15(04): 251-253.

图1 妊娠期自发性脊髓硬膜下出血患者入院时胸椎MRIA:T8~T9椎体后缘可见条形等T1信号(箭头所示);B:T8~T9椎体后缘可见条形长T2信号(箭头所示);C:周边可见环形短T2信号(箭头所示)
Fig.1 Thoracic MRI at admission in a patient with spontaneous spinal subdural hemorrhage during pregnancy
图2 妊娠期自发性脊髓硬膜下出血患者入院后第2日MRI平扫A:T1~T12椎体后缘条状短T2信号(箭头所示);B:T1~T12椎体后缘条状等T1信号(箭头所示);C:T8~T10水平脊髓缺血性改变(箭头所示)
Fig.2 Follow-up thoracic MRI on day 2 in a patient with spontaneous spinal subdural hemorrhage during pregnancy
图3 妊娠期自发性脊髓硬膜下出血患者入院后第7日复查胸椎MRIA:T1~T12椎体后缘条状短T1信号(箭头所示);B~C:T9~T10间盘水平后缘出现长T2信号(箭头所示)(B:矢状位;C:横断面)
Fig.3 Follow-up thoracic MRI at 1 week in a patient with spontaneous spinal subdural hemorrhage during pregnancy
[1]
de Beer MH, Eysink Smeets MM, Koppen H. Spontaneous spinal subdural hematoma[J]. Neurologist, 2017, 22(1): 34-39. DOI: 10.1097/NRL.0000000000000100.
[2]
Ibrahim B, Al-Khawaldeh M, Abu Sirhan LA, et al. Spinal subdural hematoma secondary to ruptured internal carotid artery ophthalmic segment aneurysm: a case report and narrative review[J]. Cureus, 2024, 16(8): e66283. DOI: 10.7759/cureus.66283.
[3]
杨德育,曹杰,郑耿阳. 自发性脊柱硬膜下血肿1例报告[J]. 脊柱外科杂志, 2024, 22(1): 70-72. DOI: 10.3969/j.issn.1672-2957.2024.01.013.
[4]
Ahrari I, Jamali M, Mohammadi S, et al. Spontaneous idiopathic spinal subdural hemorrhage in a 16-year-old boy: a rare case in pediatrics and review of literature[J]. Clin Case Rep, 2023, 11(2): e6993. DOI: 10.1002/ccr3.6993.
[5]
Li X, Yang G, Wen Z, et al. Surgical treatment of progressive cauda equina compression caused by spontaneous spinal subdural hematoma: a case report[J]. Medicine (Baltimore), 2019, 98(12): e14598. DOI: 10.1097/MD.0000000000014598.
[6]
Ardebol J, Cahueque M, Lopez W, et al. Spontaneous thoracic spinal subdural hematoma associated with apixaban therapy[J]. J Surg Case Rep, 2019, 2019(4): rjz115. DOI: 10.1093/jscr/rjz115.
[7]
Rettenmaier LA, Holland MT, Abel TJ. Acute, nontraumatic spontaneous spinal subdural hematoma: a case report and systematic review of the literature[J]. Case Rep Neurol Med, 2017, 2017: 2431041. DOI: 10.1155/2017/2431041.
[8]
Donghai W, Ning Y, Peng Z, et al. The diagnosis of spinal dural arteriovenous fistulas[J]. Spine (Phila Pa 1976), 2013, 38(9): E546-E553. DOI: 10.1097/BRS.0b013e31828a38c4.
[9]
Vastani A, Mirza AB, Lavrador JP, et al. Risk factor analysis and surgical outcomes of acute spontaneous spinal subdural hematoma: an institutional experience of four cases and literature review[J]. World Neurosurg, 2021, 146: e384-e397. DOI: 10.1016/j.wneu.2020.10.096.
[10]
Badhiwala JH, Wilson JR, Witiw CD, et al. The influence of timing of surgical decompression for acute spinal cord injury: a pooled analysis of individual patient data[J]. Lancet Neurol, 2021, 20(2): 117-126. DOI: 10.1016/S1474-4422(20)30406-3.
[11]
郭莉丽,高谋,徐如祥. 脊髓损伤的治疗新进展[J]. 中华神经创伤外科电子杂志, 2023, 9(6): 321-324. DOI: 10.3877/cma.j.issn.2095-9141.2023.06.001.
[12]
张通. 进一步优化我国卒中后运动功能障碍的康复[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(1): 1-4. DOI: 10.3877/cma.j.issn.2095-123X.2023.01.001.
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