Complete motor recovery after acute paraparesis caused by spontaneous spinal epidural hematoma: case report

Taniguchi, Leandro Utino; Pahl, Félix Hendrik; Lúcio, José Erasmo Dal Col; Brock, Roger Schmidt; Gomes, Marcos da Silva; Adoni, Tarso; Fiorini, Victor C. C.; Carvalho, Rodrigo C.; Evaristo, Eli F.; Mutarelli, Eduardo Genaro; Schettino, Guilherme

doi:10.1186/1471-227x-11-10

Cited by 29 publications

(41 citation statements)

References 15 publications

(43 reference statements)

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“…MRI is a noninvasive tool that produces accurate findings. It can show both the position and the length of the hematoma along with the impact on the spinal cord [5].The SSEH is mostly located in the thoracic region as shown in this case report. This is due to the prominence of epidural venous plexus the thoracic spine [1].…”

Section: Discussion:-mentioning

confidence: 60%

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Spontaneous Spinal Epidural Hematoma in Pregnancy.

Alahmed¹,

Alabbas²

2017

IJAR

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Section: Discussion:-mentioning

confidence: 60%

“…Studies show that SSEH can affect all age groups with high frequency after 40 years of age [5]. The male/female ratio for SSEH was shown to be 1.5:1 [4].…”

Section: Discussion:-mentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma in Pregnancy.

Alahmed¹,

Alabbas²

2017

IJAR

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“…18 On the contrary, some authors have mentioned conservative management followed up with imaging studies in cases of spontaneous resorption of hematoma leading to spontaneous recovery of neurological deficit. 22,23 The patient in our report denied history of trauma to his back. He was on antiplatelet therapy (aspirin) daily as he had past medical history of myocardial infarction and on a cardioselective β-blocker for blood pressure control.…”

Section: Discussionmentioning

confidence: 70%

Acute Spontaneous Spinal Epidural Hematoma Secondary to Aspirin

Sharma¹,

Saseedharan²,

Pathrose³

et al. 2017

The Journal of Spinal Surgery

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Acute spontaneous spinal epidural hematoma (SSEH) is an extremely rare but a grave condition which if missed or diagnosed late can lead to serious life-debilitating neurological deficits. Numerous contributing factors are enlisted from idiopathic, trivial trauma to antiplatelet therapy. While aspirin is known to lower the risk of coronary artery disease and stroke, the risk of developing internal hemorrhages increases. Acute SSEH associated with aspirin is extremely rare. Emergency spinal decompression with evacuation of hematoma is the mainstay of treatment. We present a case of a 60-year-old male who presented to our hospital with sudden onset of backache followed by both lower limb paresis and inability to stand. The patient was on low-dose (75 mg) aspirin daily for ischemic heart disease. Emergency spinal decompression and hematoma evacuation was done due to worsening of neurological symptoms which led to improvement of symptoms.

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“…[27][28] In follow up in only the incomplete paraplegic patients, it was possible to change paraplegia since complete sensory recovery was seen in no case of complete paraplegia. This observation supports the findings of the study of Yilmaz et al 29 Regarding the return of bowel and bladder function in all the cases this was autonomic in complete paraplegia.…”

Section: Stability Of Implantsmentioning

confidence: 99%

Analysis of the results of surgical management of traumatic paraplegia

Nitesh

Mahto

2016

Int J Res Orthop

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Background: Thoracolumbar spine fractures are common injuries that can result in significant disability, deformity and neurological deficit. Aim of this study was to evaluate the results of surgical management of traumatic paraplegia, complete or incomplete as classified by Frankel scoring.Methods: A prospective study was conducted in patients attending outdoor and emergency department of orthopaedics of a tertiary care teaching institute in Katihar Medical College, Katihar (Bihar) with traumatic paraplegia involving the dorsolumbar spine. The duration of the study was July 2014 to July 2016. The important objectives are the time for recovery of various functions like sensory, motor and bowel and bladder function, comparison between early and late decompression, results of posterolateral fusion and time taken for solid bony fusion after operation. Cases selected for these studies were those treated surgically between July 2014 to July 2016. Total 46 cases were selected within a minimum of 6 month post-operative follow up of which 4 cases lost in follow up. Data collected from patients records including age, sex, time from injury to hospitalization, initial neurological status as per Frankel score, MRI findings, surgery performed, postoperative course and neurological status at the time of discharge and latest follow up. Patients lost to follow up were not studied for outcome analysis.Results: When decompression done within 1st week in incomplete paraplegia 80% of the patients showed return of grade 3 power. In complete paraplegia cases, 11% of the patients had return to power upto grade 3 when decompression done within 1 week where no cases return of grade 3 power when decompression done after2nd and 3rd week. Conclusions: After recovery from spinal shock, the earlier the surgical decompression done, the better the neurological and bowel/bladder function recovery both in complete and incomplete paraplegic cases. Reduction is better and easy and less time consuming in early decompression than in late. Motor recovery can continue for over 6 month after decompression.

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Complete motor recovery after acute paraparesis caused by spontaneous spinal epidural hematoma: case report

Cited by 29 publications

References 15 publications

Spontaneous Spinal Epidural Hematoma in Pregnancy.

Spontaneous Spinal Epidural Hematoma in Pregnancy.

Acute Spontaneous Spinal Epidural Hematoma Secondary to Aspirin

Analysis of the results of surgical management of traumatic paraplegia

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