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Spontaneous Spinal Epidural Hematoma on the Ventral Portion of Whole Spinal Canal: A Case Report
Korean Journal of Spine ; : 173-176, 2015.
Article in En | WPRIM | ID: wpr-56406
Responsible library: WPRO
ABSTRACT
Spontaneous spinal epidural hematoma is an uncommon but disabling disease. This paper reports a case of spontaneous spinal epidural hematoma and treatment by surgical management. A 32-year-old male presented with a 30-minute history of sudden headache, back pain, chest pain, and progressive quadriplegia. Whole-spinal sagittal magnetic resonance imaging (MRI) revealed spinal epidural hematoma on the ventral portion of the spinal canal. Total laminectomy from T5 to T7 was performed, and hematoma located at the ventral portion of the spinal cord was evacuated. Epidural drainages were inserted in the upper and lower epidural spaces. The patient improved sufficiently to ambulate, and paresthesia was fully recovered. Spontaneous spinal epidural hematoma should be considered when patients present symptoms of spinal cord compression after sudden back pain or chest pain. To prevent permanent neurologic deficits, early and correct diagnosis with timely surgical management is necessary.
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Full text: 1 Index: WPRIM Main subject: Paresthesia / Quadriplegia / Spinal Canal / Spinal Cord / Spinal Cord Compression / Chest Pain / Magnetic Resonance Imaging / Back Pain / Hematoma, Epidural, Spinal / Diagnosis Type of study: Diagnostic_studies Limits: Adult / Humans / Male Language: En Journal: Korean Journal of Spine Year: 2015 Type: Article
Full text: 1 Index: WPRIM Main subject: Paresthesia / Quadriplegia / Spinal Canal / Spinal Cord / Spinal Cord Compression / Chest Pain / Magnetic Resonance Imaging / Back Pain / Hematoma, Epidural, Spinal / Diagnosis Type of study: Diagnostic_studies Limits: Adult / Humans / Male Language: En Journal: Korean Journal of Spine Year: 2015 Type: Article