https://scholars.lib.ntu.edu.tw/handle/123456789/203950
標題: | Ankylosing Spondylitis Complicating with Spinal Epidural Hematoma: A Case Report 僵直性脊椎炎併發脊髓硬膜外血腫:病例報告 |
作者: | LIN, HUI-LIN WANG, YEN-HO LIANG, HUEY-WEN CHANG, CHI-KAI 林慧玲 王顏和 梁蕙雯 張欽凱 |
關鍵字: | spinal epidural hematoma;ankylosing spondylitis;decompression operation | 公開日期: | 2004 | 卷: | v.32 | 期: | 46 | 起(迄)頁: | - | 來源出版物: | TAIWAN JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION | 摘要: | Ankylosing spondylitis (AS) is an inflammatory disease that most commonly affects vertebral and pelvic joints. It is characterized by ossification of all spinal ligaments, articular joints, and intervertebral discs in association with osteoporosis of the vertebral bodies, thus, rendering the spine prone to trauma, which, even if minimal, may cause serious neurologic complications. Spinal epidural hematoma( SEH) is a rare clinical condition. Etiologically, it may be traumatic or nontraumatic. Spontaneous SEHs occur more frequently than traumatic SEHs. Although rare, posttraumatic SEH occurs frequently in patients with AS. We report the case of a 71-year-old male patient who suffered from AS for more than 20 years and experienced tetraplegia as a result of an accidental fall. Cervical and thoracic SEHs were diagnosed by magnetic resonance image. The neurologic recovery was successful after early decompression surgery and rehabilitation. The purpose of this case report is to remind clinicians that SEH, although rare, commonly occurs in patients with AS, and that early diagnosis and treatment can contribute to good functional recovery. of an accidental fall. Cervical and thoracic SEHs were |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/99406 |
顯示於: | 醫學系 |
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