Hematoma epidural espinal espontâneo durante a gravidez: registro de um caso

Hack, I; Cademartori, Mário S.; Mamani, Rosendo S.; Beltrame, Carmen M.; Cademartori, Carlos G.

doi:10.1590/s0004-282x1984000100007

Cited by 15 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the brazilian literature there are very few publications concerning SSEH: we found only five articles since 1980 2,4,7,12,16 the most recent one dating 12 years ago 2 .…”

Section: Case Reportmentioning

confidence: 90%

Spontaneous Spinal Epidural Hematoma

Grativvol¹,

Amaral²,

Scardino³

et al. 2018

jbnc

View full text Add to dashboard Cite

RESUMORelatamos um caso de hematoma intrarraquidiano extradural espontâneo ao nível de T10-T12. Esta é uma causa rara de disfunção neurológica que representa 0,3-0,9% das lesões que ocupam espaço no canal vertebral epidural e que requer diagnóstico e tratamento imediato. Pacientes portadores de HIEE normalmente apresentam-se com aparecimento súbito de dor na coluna vertebral e sinais de déficit neurológico. Apresentamos o caso de uma paciente admitida no serviço de emergência com dor abdominal (radicular irradiada) e sinais e sintomas de compressão da medula espinhal. A ressonância magnética da coluna torácica evidenciou formação expansiva extramedular localizada ao nível de T10-T12 que comprimia e deslocava a medula espinhal ântero-lateralmente para a direita. A paciente foi submetida a tratamento cirúrgico em caráter de urgência, com remoção do hematoma epidural ,sendo evitada a instalação de déficit neurológico permanente. Palavras-chave: Hematoma intrarraquidiano espontâneo;Extradural; Tratamento Cirúrgico. ABSTRACTA case of spontaneous spinal epidural hematoma (SSEH) in the thoracic spine (T10-12) is reported. This is a rare cause of neurological deficit (represents 0,3-0,9% of the lesions that occupy epidural space in vertebral canal) requiring immediate diagnosis and treatment. Patients with SSEH typically present with acute onset of severe back pain and signs of neurological deficit. We report the case of a woman admitted to the emergency room with abdominal pain (radiating radicular pain) with signs and symptoms of spinal cord compression. A magnetic resonance imaging (MRI) of the thoracic spine showed expansive extramedullary formation located at T10-T12 level which pressed and displaced the spinal cord anterolaterally to the right. The patient underwent surgery on an emergency basis, and permanent neurological deficit was avoided.

show abstract

“…In the brazilian literature there are very few publications concerning SSEH: we found only five articles since 1980 2,4,7,12,16 the most recent one dating 12 years ago 2 .…”

Section: Case Reportmentioning

confidence: 90%