Spontaneous spinal epidural hematoma: a case report and review of the literatures.
Acta Neurol Taiwan
; 21(1): 31-4, 2012 Mar.
Article
en En
| MEDLINE
| ID: mdl-22879087
ABSTRACT
PURPOSE:
To emphasize the importance of early recognition and emergent surgery for spontaneous spinal epidural hematoma (SSEH). CASE REPORT A 61-year-old female presented with sudden onset of severe neck and back pain after finishing worshiping Buddha followed by quadriparesis, sensory deficits below C4 level and sphincter dysfunction. MR imaging demonstrated acute extensive epidural hematoma of cervico-thoracic spinal segments (C2-T7). Idiopathic SSEH was diagnosed and emergent decompressive laminectomy with hematoma evacuation was performed within 12 hours of symptoms onset. Good functional and neurological outcomes were obtained.CONCLUSION:
SSEH is a rare but disabling or even fatal entity. Early diagnosis and prompt surgery improve the neurological and functional outcome but still remain a clinical challenge. Relevant physicians should pay attention to the typical symptoms of the rare entity and SSEH should be one of differential diagnoses.
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Bases de datos:
MEDLINE
Asunto principal:
Vértebras Torácicas
/
Hematoma Espinal Epidural
/
Laminectomía
Tipo de estudio:
Etiology_studies
/
Screening_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Acta Neurol Taiwan
Año:
2012
Tipo del documento:
Article
País de afiliación:
Taiwán