An Atypical Presentation of Spinal Epidural Hematoma-Case Report and Literature Review

Abstract

Spinal epidural hematoma can occur spontaneously or as a secondary condition and it represents less than 1% of space-occupying lesions within the spinal canal. The incidence of spontaneous epidural bleeding is estimated to be 0.1 cases per 100,000 populations per year. Typical clinical manifestations include acute onset of back pain, sometimes associated with radicular paresthesia and signs of spinal cord compression in some cases. The clinical presentation with hemiparesis is rare, and it may hinder the diagnosis, especially in emergency situations. The purpose of this article is to present a clinical case of acute epidural hematoma with atypical clinical presentation, followed by literature review of spinal epidural hematoma.

Nightmare after iliac vein stenting: Spinal epidural hematoma

“…The incidence of spontaneous epidural bleeding is estimated to be 1 case per 1,000,000 populations per year. 3 Coagulation and platelet disorders have been suggested as predisposing factors for SEH, with surgery and trauma regarded as other causes of SEH. It usually presents with acute severe back pain and signs/symptoms of spinal cord compression, mostly in the posterior segments.…”

“…This disorder can occur spontaneously or as a secondary condition and it represents less than 1% of space‐occupying lesions within the spinal canal. The incidence of spontaneous epidural bleeding is estimated to be 1 case per 1,000,000 populations per year 3 . Coagulation and platelet disorders have been suggested as predisposing factors for SEH, with surgery and trauma regarded as other causes of SEH.…”