Assuntos
Neoplasias Encefálicas/secundário , Fibrossarcoma/secundário , Idoso , Antibióticos Antineoplásicos/administração & dosagem , Antineoplásicos Alquilantes/administração & dosagem , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias Encefálicas/patologia , Neoplasias Encefálicas/cirurgia , Quimiorradioterapia , Terapia Combinada , Epirubicina/administração & dosagem , Fibrossarcoma/patologia , Fibrossarcoma/cirurgia , Humanos , Ifosfamida/administração & dosagem , Imageamento por Ressonância Magnética , Masculino , Procedimentos Neurocirúrgicos/métodos , Neoplasias Torácicas/patologia , Neoplasias Torácicas/cirurgia , Resultado do TratamentoRESUMO
PURPOSE: Spinal epidural hematoma is a rare clinical entity. We present a case of atypical contrast enhancement pattern in a chronic epidural hematoma of the lumbar spine mimicking an extradural tumor. CASE REPORT: A 76-year-old man on treatment with oral anticoagulants presented with a 1-month history of lower back pain radiating into his right upper thigh accompanied by spinal claudication. Preoperative MRI showed a posterior epidural lesion compressing the cauda equina with almost homogeneous contrast enhancement. Surgery was performed under the presumptive diagnosis of spinal extradural neoplasm. Intraoperative and histological findings were consistent with a chronic spinal epidural hematoma. Postoperatively, the patient had instant relief of his symptoms. CONCLUSION: Chronic spinal epidural hematoma may resemble an extradural tumor, requiring surgery for histological confirmation and decompression.
