Chronic extradural spinal hematoma after previous trauma

Gaeta, A; Capobianco, Eugenio

doi:10.1016/j.ejro.2015.03.002

Cited by 2 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…11,12 It has been postulated that trauma can lead to rupture of thin-walled epidural veins of Batson's plexus with appearance of EDH. 7,13,14 Lesions occurring in the cervical lesions has more potential to cause early neurological deterioration (the size of epidural space is less) than lesions occurring in the lumbar region. 7,15,16 MRI is the investigation of choice, as this will show the presence of the lesion, size and extent of the lesion, presence of vertebral fractures, and extent of compression of neural structures, 5,7,[17][18][19] and will also help in differentiating from other lesions involving the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Agrawal

Reddy

Brinda

et al. 2020

Indian Journal of Neurotrauma

View full text Add to dashboard Cite

In spite of the relative common occurrence of spinal injuries, spinal epidural hematomas (SEHs) are rare lesions. Depending on the onset, site, size, and presence of neurological deficits, they can be treated conservatively or surgically. In the presented article, we report an uncommon case of posttraumatic dorsolumbar SEH and discuss the characteristic magnetic resonance imaging (MRI) imaging findings of epidural fat in the cases of traumatic spinal hematomas.

show abstract

Section: Discussionmentioning

confidence: 99%

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Agrawal

Reddy

Brinda

et al. 2020

Indian Journal of Neurotrauma

View full text Add to dashboard Cite

show abstract

“…Epidural hematomas are common intracranial pathologies secondary to traumatic brain injuries and are associated with overlying skull fractures up to 85% of the time. Spinal chronic epidural hematomas are extremely rare and become clinically relevant when they affect the spinal cord and/or nerve roots, causing neurological symptoms [1]. The incidence of chronic epidural hematomas after traumatic injuries has been reported to account for 9-32% of all epidural hematomas [2,3].…”

Section: Introductionmentioning

confidence: 99%

Chronic epidural hematoma: a systematic review and meta-analysis

Agada¹,

Bankole²,

Dossou³

et al. 2023

Egypt J Neurosurg

View full text Add to dashboard Cite

Background Epidural hematoma constitutes a common condition in neuro-traumatology. If its acute form is well known, the chronic one remains less described. Objective This study aimed to evaluate the epidemiology, clinical presentations, management, and outcomes of chronic epidural hematoma. Methodology Systematic searches of PubMed, Google Scholar, and ScienceDirect were performed from a database searching for all studies reporting chronic epidural hematoma. Pooled statistics were calculated using measures of central tendency and spread. The rank correlation test and the regression test, using the standard error of the observed outcomes as predictor, are used to check for funnel plot asymmetry. Results A total of 3009 studies were identified, of which 95 were included with 359 patients. Chronic epidural hematoma (CEDH) was more common at the intracranial level than spinal level (91.9% vs 8.1%). The average age of onset was 37.2 ± 4.83 years. The common cause found was trauma (n = 279; 77.72%) with 271 (97.1%) cases for the head and 8 (2.9%) cases for the spine. The mean delay between the trauma and the first symptoms was 13.32 ± 1.73 days in intracranial level and 16.38 ± 2.49 days in spinal level. CT scan constituted the main diagnosis tool. The lesion was predominantly located in the temporal region at the intracranial level and lumbar region at the spinal level. Craniotomy and laminectomy constituted the most reported treatment option, respectively, at the intracranial and spinal level. The outcome was commonly uneventful. Correlation and regression tests for publication bias assessment show no significant funnel plot asymmetry with high p value (p = 0.8458 and p = 0.9596, respectively). Conclusion CEDH was commonly related to trauma. Its treatment was mostly surgical at both sites.

show abstract

Chronic extradural spinal hematoma after previous trauma

Cited by 2 publications

References 5 publications

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Chronic epidural hematoma: a systematic review and meta-analysis

Contact Info

Product

Resources

About