Complete nonsurgical resolution of a spontaneous spinal epidural hematoma

Silber, Steven H.

doi:10.1016/s0735-6757(96)90057-1

Cited by 31 publications

(20 citation statements)

References 38 publications

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“…It is best to have the operation before paralysis or within a few hours after paralysis has occurred to prevent irreversible ischemia [1,2]. There are some reports of spontaneous recovery from EDH [14,15]; however, considering the pathological characteristics of a hematoma being clotted, surgical removal seems to be the most reasonable course to follow. Many reports have stated it is best to have surgery within 24-36 hours after symptoms manifest.…”

Section: Discussionmentioning

confidence: 99%

Epidural hematoma occurred by massive bleeding intraoperatively in cesarean section after combined spinal epidural anesthesia -A case report-

Chung

Hwang

Cheol

et al. 2011

Korean J Anesthesiol

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We describe a case of acute lumbar epidural hematoma at the L2-3 level complicated by paraplegia, which occurred after coagulation disorder because of massive bleeding intraoperatively in cesarean section. The preoperative coagulation laboratory finding was in normal range and so we tried combined spinal epidural anesthesia. Uterine atony occurred in the operation, and there was persistant bleeding during and after the operation. After the operation, she complained of paresthesia on her both legs and was diagnosed with epidural hematoma (EDH) by radiologic examination. Emergency laminectomy on lumbar spine was carried out for hematoma evacuation and decompression of the epidural space at once. In our experience, massive bleeding during surgery may potentially increase the risk of EDH postoperatively.

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Section: Discussionmentioning

confidence: 99%

Epidural hematoma occurred by massive bleeding intraoperatively in cesarean section after combined spinal epidural anesthesia -A case report-

Chung

Hwang

Cheol

et al. 2011

Korean J Anesthesiol

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“…logical deficits recover completely without surgical treatments (8)(9)(10). So the severity and duration of the preoperative neurological deficits seem to be crucial in the current case.…”

Section: F I G U R E 3 Cl I N I C a L C O U R S E O F T H I S C A Smentioning

confidence: 78%

Spontaneous Cervical Epidural Hematoma Treated by the Combination of Surgical Evacuation and Steroid Pulse Therapy

et al. 2008

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“…[17][18][19] Conservative management of the SSEH may be appropriate if early and substantial neurologic recovery is noticed. 19 Conservative management is often successful, but it can also put such patients at risk for developing spinal cord damage that may not be reversed by an evacuation of the hematoma.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cervical Epidural Hematoma Masquerading as an Abscess on Magnetic Resonance Imaging Scan

Nourbakhsh

Chaljub

Garges

2009

Journal of Manipulative and Physiological Therapeutics

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Complete nonsurgical resolution of a spontaneous spinal epidural hematoma

Cited by 31 publications

References 38 publications

Epidural hematoma occurred by massive bleeding intraoperatively in cesarean section after combined spinal epidural anesthesia -A case report-

Epidural hematoma occurred by massive bleeding intraoperatively in cesarean section after combined spinal epidural anesthesia -A case report-

Spontaneous Cervical Epidural Hematoma Treated by the Combination of Surgical Evacuation and Steroid Pulse Therapy

Spontaneous Cervical Epidural Hematoma Masquerading as an Abscess on Magnetic Resonance Imaging Scan

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