Spontanes akutes spinales subdurales Hämatom unter antikoagulativer Therapie -Falldarstellung und Literaturübersicht

 

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Zusammenfassung

Akute spinale subdurale Hämatome stellen eine seltene Ursache für Rückenmarkkompressionssyndrome dar. Sie treten meist bei Patienten mit einer gestörten Blutgerinnung auf. Diese Falldarstellung berichtet über ein spontan aufgetretenes subdurales Hämatom, diagnostiziert mittels NMR und behandelt über einen minimal invasiven operativen Zugang. Wir betonen, dass mit Hilfe der NMR-Untersuchung zur Operationsplanung der Zugang so zu minimieren ist, dass eine Laminektomie nur selten erforderlich ist.

Abstract

Acute spinal subdural haematoma is a rare cause of spinal cord compression which occurs mainly in patients with a bleeding diathesis. This report presents a case of a spontaneous spinal subdural haematoma demonstrated by magnetic resonance imaging (MRI) and treated by a minimal invasive operation. We would like to stress that laminectomy is rarely neccesary with MRI examination for planning of the neurosurgical operation.

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Dr. Michael Zimmermann

Neurochirurgische Universitätsklinik Bochum

In der Schornau 23 - 25

44892 Bochum