特発性脊髄硬膜外血腫の1治験例

Spontaneous Spinal Epidural Hematoma:Report of a case

I．はじめに

　脊髄硬膜外血腫は古くから知られた疾患であるが，比較的稀であり，そのために診断が遅れ重篤な結果を招くことがある．一般的には早期診断，早期治療により良好な結果を得ることが知られている．一方，手術時期が遅れても比較的良い結果を得る例も見られる．著者らは最近そのような1例を経験したので，予後に影響を与える諸因子の検討を加え報告する．

A typical case of spontaneous spinal epidural hematoma was reported. The patient was a 52 year-old male. He suddenly developed severe high back pain followed by complete paraplegia and rectovesical insufficiency. Myelography disclosed epidural mass extending from Th2 to Th4. Laminectomy and removal of hematoma were carried out 4 days after the onset. Post-operative course was uneventful. Four months later he began to walk with the aids and 7 months later he was fully ambulatory and discharged. We analysed 110 cases already reported including our own and obtained the following conclusions.