Chronic lumbar extradural haematoma simulating disc syndrome

Devadiga, K.V.; Gass, Harvey

doi:10.1136/jnnp.36.2.255

Cited by 27 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Spinal epidural hematoma is uncommon condition and can be classified as spontaneous, secondary, and idiopathic but the definition was not clear. The most important causes of secondary SEHs are with hematologic disorders, 3 – 6) anticoagulation 7 – 8) and antiplatelet therapy 9 – 11) , vascular malformations 12) , neoplasm, trauma 13) , or medical intervention, such as epidural catheterization or spinal surgery. 14 , 15) Spontaneous SEH is defined as SEH with causative risk factors, such as minor trauma, chiropractic manipulation, 16) Paget’s disease, 17 , 18) ankylosing spondylitis, 19 , 20) and rheumatoid arthritis.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic and Chronic Epidural Hematoma in the Lumbar Spine: A Case Report and Review of Literatures

Okazaki

Nakagawa²,

Hayase³

et al. 2018

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

Spontaneous and chronic epidural hematoma (SSEH) in the lumbar spine is rare, and idiopathic and chronic SSEH in the lumbar spine is extremely rare disease. Most of lumbar SSEH were acute and secondary with trauma, hematologic disorders, drug, and surgical procedure. Only 20 cases of chronic SSEH in the lumbar spine have been reported and 14 cases among them were considered to be idiopathic. Definitive guidelines for management of this condition are not clear and surgical total evacuation was performed in most of the cases. Some authors reported the epidural bleeding originates in the rupture of Batson’s plexus due to a rise in intra-abdominal pressure, but the mechanism is not clearly clarified. We report a surgical case of idiopathic and chronic SSEH. A 61-year-old woman suffered a sudden onset of severe lumbar pain during sleep. She had no history of trauma, spinal surgery, or hypertension. Magnetic resonance imaging revealed a lumbar chronic epidural hematoma which compressed the dural sac behind and extended from L2 to L5. This patient underwent the partial evacuation of the hematoma with partial hemilaminectomy on left at L2/3, resulting in immediate pain relief and resolution of symptoms and almost absorption of the hematoma within 1 week of the procedure. We presented this rare case and reviewed idiopathic and chronic epidural hematoma in the lumbar spine.

show abstract

Section: Discussionmentioning

confidence: 99%

Idiopathic and Chronic Epidural Hematoma in the Lumbar Spine: A Case Report and Review of Literatures

Okazaki

Nakagawa²,

Hayase³

et al. 2018

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…The deficits may appear within hours, or more slowly, within days. [7][8][9][10][11] CT myelography shows the extradural lesion and the degree of cord compression and canal compromise, but is non-specific. MRI is the best diagnostic tool for SSEH because of its non-invasiveness, multiplanar capability, and better visualisation of soft tissues including the disc, spinal cord, and the extent of the haematoma.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Haematoma in a 15-Month-Old Boy Presenting with a Wry Neck: A Case Report

Fok

Sun

Wong

et al. 2007

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

A 15-month-old boy presented with a 2-day history of a wry neck (bent to the left side) with no definite trauma. He had bilateral upper limb weakness and was afebrile, conscious, and stable. There was no spontaneous movement in both upper limbs. Magnetic resonance imaging of the cervical and thoracic spine demonstrated an extensive spontaneous spinal epidural haematoma from C3 to T8. 23 hours after admission, the patient underwent an emergency right-sided C3 to T8 hemi-laminectomy and haematoma evacuation. The patent's strength gradually recovered and he attained full power 3 weeks after operation. Spontaneous spinal epidural haematoma is a rare disease in children. A high index of suspicion is essential for its effective management as the interval to operation is the most important prognostic factor.

show abstract

“…This explains the so-called chronic lumbar extradural hematomas. Two such cases have been reported by Devadiga and Gass in 1973. In the first case a large extradural defect at L5 -SI vertebrae on the right side was present due to an extradural hematoma.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma

Pc¹,

Eg²,

Cc³

1974

Minim Invasive Neurosurg

View full text Add to dashboard Cite

A case of spontaneous spinal epidural hematoma is described. The patient had an additional midline disc at L3-L4. He was operated upon 5 days after the onset. Four months postoperatively he was able to walk with the help of a stick. We do think that operation should be attempted, even in neglected cases, like ours.Es wird ein Fall eines spinalen epiduralen Spontanhämatoms beschrieben. Der Patient hatte zusätzlich einen Bandscheibenvorfall bei L3-L4. Er wurde 5 Tage nach dem Beginn operiert. Vier Monate nach der Operation konnte er an einem Stock gehen. Wir glauben, daß eine Operation selbst in vernachlässigten Fällen, wie der unsrige, versucht werden müßte.

show abstract

Chronic lumbar extradural haematoma simulating disc syndrome

Cited by 27 publications

References 21 publications

Idiopathic and Chronic Epidural Hematoma in the Lumbar Spine: A Case Report and Review of Literatures

Idiopathic and Chronic Epidural Hematoma in the Lumbar Spine: A Case Report and Review of Literatures

Spontaneous Spinal Epidural Haematoma in a 15-Month-Old Boy Presenting with a Wry Neck: A Case Report

Spontaneous Spinal Epidural Hematoma

Contact Info

Product

Resources

About