查詢結果分析
相關文獻
- Acute Spontaneous Spinal Epidural Hematoma in a Hemodialysis Patient: A Case Report
- The Significance of Syphilis Serology Tests on Long-Term Hemodialysis Patients
- Watermelon Stomach--An Unusual Cause of Recurrent Upper Gastrointestinal Bleeding in a Uremic Patient Receiving Estrogen-Progesterone Therapy: Case Report
- Serum Transferrin Receptor Concentration is Not Indicative of Erythropoietic Activity in Chronic Hemodialysis Patients with Poor Response to Recombinant Human Erythropoietin
- 血液透析患者飲食習慣之調查
- 血液透析動靜脈瘻管的竊血症候群
- 血液透析病人的中央靜脈狹窄
- 經皮下血管擴張術於長期血液透析病患之運用
- 血液透析患者對於服用磷結合劑在行為態度知識及副甲狀腺高能症的探討
- 血液透析處方之臨床實用準則(1)
頁籤選單縮合
題 名 | Acute Spontaneous Spinal Epidural Hematoma in a Hemodialysis Patient: A Case Report=一血液透析患者之急性自發硬膜外血腫 |
---|---|
作 者 | 張惠華; 程盟夫; 劉信良; 李榮順; 高雅慧; 黃建鐘; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 21:2 2007.06[民96.06] |
頁 次 | 頁150-153+170 |
分類號 | 415.816 |
關鍵詞 | 急性自發性硬膜外血腫; 血液透析; 核磁共振影像; Acute spontaneous spinal epidural hematoma; ASSEH; Hemodialysis; HD; Magnetic resonance imaging; MRI; |
語 文 | 英文(English) |
英文摘要 | The incidence of cerebrovascular disease in hemodialysis (HD) patients is higher than that in general population. However, acute spontaneous spinal epidural hematoma (ASSEH) is a rare but serious neurological condition in HD patients. It is a kind of spinal cord compression and is difficult to detect early. The spinal epidural hematoma is usually confined to a few spinal segments, but long segmental involvement (T5-L1, 9 segments) has also been reported. We presented a 65-year-old female having end-stage renal disease and received regular heparin-free HD for three years. During an HD session, she had a sudden onset of severe neck pain radiating to right scapular area and then to lower back. Magnetic resonance imaging (MRI) showed an extra-dural mass at C2 level with spinal cord compression. Since there was no past history of cardiovascular disease, hypertension, diabetes mellitus, recent trauma, or blood dyscrasia, and use of antiplatelet agent, the diagnosis of ASSEH was made. She had ever taken vitamin E (1, 200 IU/day) for legs' cramp for several years. However, the safety of long-term and high-dose usage of vitamin E remained to be determined, especially in patients with renal dysfunction or HD population. Fortunately, her sensory and motor functions completely recovered after a few hours without surgical intervention. |
本系統中英文摘要資訊取自各篇刊載內容。