Management and neurological outcome of spontaneous spinal epidural hematoma

Dziedzic, Tomasz; Kunert, Przemysław; Krych, Piotr; Marchel, Andrzej

doi:10.1016/j.jocn.2014.11.010

Cited by 56 publications

(55 citation statements)

References 21 publications

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“…However, a meta-analysis has suggested no increased risk of SSEHs in individuals with hypertension (4). Some have reported upwards of 17-30% of all SSEHs are linked to anticoagulant use (5,8). Others have listed minor trauma, pregnancy, hemophilia, and leukemia as associated causes of SSEH (5,7).…”

Section: Discussionmentioning

confidence: 99%

“…When compared to the spinal cord within 24 h from symptom onset, the hematoma typically appears isointense on T1-weighted and hyperintense on T2-weighted MRI imaging (1,5,7). After 24 h, the hematoma often appears hyperintense on both T1-and T2-weighted images (1,7).…”

Section: A B Cmentioning

confidence: 99%

“…Spontaneous spinal epidural hematomas (SSEH), defined as blood within the epidural space without known traumatic or iatrogenic cause, have an estimated incidence of 0.1 in 100,000 per year (2)(3)(4)(5). They may be associated with coagulopathies or arteriovenous malformations (1).…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous spinal epidural hematoma: literature review

2017

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Review the current literature regarding spontaneous spinal epidural hematomas (SSEHs) and report on the known risk factors, evaluation, and treatment of this rare entity. A literature search was performed using PubMed and Ovid to identify articles pertaining to SSEHs. Due to the rarity of the pathologic entity, only scattered case reports and associated reviews are available. SSEHs are a rare yet potentially life-altering event. The underlying risk factors are poorly understood, and SSEHs present with minimal or no antecedent trauma. SSEHs warrant urgent surgical intervention given the associated risk of permanent neurologic sequelae. Given the potential for persistent neurologic deficits, physicians must entertain a clinical suspicion of SSEH when a patient presents with a history of back pain followed by neurologic deficits. Even without clear risk factors for hemorrhage, the appropriate evaluation to include advanced imaging studies should be obtained to allow for identification of this entity and urgent surgical management.

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Section: Discussionmentioning

confidence: 99%

Section: A B Cmentioning

confidence: 99%

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Spontaneous spinal epidural hematoma: literature review

2017

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“…In some cases sphincter disorders may develop [22]. Despite the abovementioned signs, fast and precise diagnosis still represents a challenge for almost every physician [23].…”

Section: Discussionmentioning

confidence: 99%

“…Post-OP mortality of SSEH ranges from 3% to 6% [1][2][3]. Size and location of hematoma, pre-operative neurological deficits and timing of the surgical decompression is directly connected to the prognosis [23,30,33].…”

Section: Discussionmentioning

confidence: 99%

Acute Quadriplegia Caused by Idiopathic Spontaneous Epidural Haematoma in Young Adult-Case Report and Review of Literature

GoluboviAA¹,

CigiAA²,

PapiAA³

et al. 2016

Int J Phys Med Rehabil

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A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man

2021

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Spontaneous spinal epidural hematoma is a rare neurosurgical condition that is often difficult to diagnose in the emergency department and can cause permanent neurological deficits if diagnosis is delayed or incorrect. We present the case of a 43‐year‐old man who was initially investigated for cardiac events, suspected posterior circulation stroke, or arterial dissection. All investigations were normal, which led us to perform magnetic resonance imaging of the brain, neck, and cervicothoracic spine, which revealed spontaneous spinal epidural hematoma. Publication of this case raises awareness of this rare neurosurgical emergency and the importance of differential diagnosis to avoid misdiagnosis in patients presenting with sudden‐onset cervicothoracic back pain radiating to the upper limbs bilaterally with neurological deficit and a history of discectomy or receiving anticoagulants. Our study highlights the importance of early discussions with the consultant and specialty involvement in such cases.

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Management and neurological outcome of spontaneous spinal epidural hematoma

Cited by 56 publications

References 21 publications

Spontaneous spinal epidural hematoma: literature review

Spontaneous spinal epidural hematoma: literature review

Acute Quadriplegia Caused by Idiopathic Spontaneous Epidural Haematoma in Young Adult-Case Report and Review of Literature

A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man

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