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《Acta Academiae Medicinae Militaris Tertiae》 2006-10
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Etiological study of spontaneous spinal epidural hematoma

ZHOU Wei, ZHANG Hong-qi, ZHI Xing-long, ZHANG Peng, LI Meng, LING Feng (Department of Neurosurgery, Xuanwu Hospital, Capital University of Medical Sciences, Beijing 100053, China)  
Objective To study the etiology of spontaneous spinal epidural hematoma(SSEH). Methods The causes of SSEH were defined by analyzing the clinical features of 15 patients and the manifestations on spinal angiography and operative findings of 11 cases. Results A tiny vascular malformation of spinal dura was found in 1 patient by spinal angiography, acute lymphocyte leukemia in 1 patient. Thirteen patients failed to find definite etiological factors. Conclusion Some causes of SSEH can be found by spinal angiography on which the proper treatment was performed. Venous bleeding is presumably the main cause of SSEH. Spinal venous angiography is deemed helpful to find the cause of SSEH.
【CateGory Index】: R651.15
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