Nontraumatic Spinal Epidural Hematoma: Report of Four Cases and Review of the Literature

Lonjon, M.; Paquis, Philippe; Chanalet, S.; Grellier, P

doi:10.1097/00006123-199708000-00035

Cited by 94 publications

(61 citation statements)

References 17 publications

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“…Lonjon et al reported that the preoperative neurological status is the essential prognostic factor [18,30]. Foo et al [9] reported the neurological status returned to normal in only 45.3% of the patients among the early complete deficit patients, but the neurological status returned to normal in 95% of the patients among the incomplete sensorimotor deficit ones.…”

Section: Initial Neurological Deficit and Neurological Outcomementioning

confidence: 99%

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Surgical management of spontaneous spinal epidural hematoma

2006

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Section: Initial Neurological Deficit and Neurological Outcomementioning

confidence: 99%

“…Lonjon defined idiopathic spinal hematoma and secondarily arisen spinal hematoma in the result of coagulopathy or vascular malformation or tumor bleeding [18,30]. The standard management for SSEH is to evacuate the hematoma and perform spinal cord decompression by an emergency operation [13,32].…”

mentioning

confidence: 99%

Surgical management of spontaneous spinal epidural hematoma

2006

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“…7,16,20) ASEH with progressive neurological deficit should be treated by emergent evacuation of the hematoma and decompression of the spinal cord. 1,2,10,16,18,23) Multilevel ASEH requires removal of all or every other lamina of the involved spinal levels and evacuation of the hematoma. However, conservative treatment with spontaneous resolution of the hematoma may be preferred to surgical decompression.…”

Section: Introductionmentioning

confidence: 99%

Multilevel Acute Spinal Epidural Hematoma in a Patient With Chronic Renal Failure-Case Report-

Ziyal

Aydın

İnci

et al. 2003

Neurol. Med. Chir.(Tokyo)

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A 47-year-old female with diabetic nephropathy presented with acute onset of severe back pain and progressive weakness in both lower extremities. Neuroimaging revealed a spinal epidural hematoma extending from the T-3 vertebra to the sacrum. Removal of all or every other lamina on levels with epidural hematoma and emergent evacuation of the hematoma were planned. T-9 and T-10 laminectomies were performed, but excessive bleeding during the operation prompted us to abandon the procedure. Plasma and desmopressin administration controlled the bleeding from the drain 8 hours after the operation. Follow-up neuroimaging one month later revealed total resolution of the hematoma with improved neurological status. Acute spinal epidural hematomas extending over more than 15 segments are extremely rare and the surgical treatment is still challenging. Coexisting hemorrhagic diathesis creates more problems. Conservative treatment may be the best option.

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“…2 It is estimated that spontaneous spinal epidural hematomas (SSEHs) arise in B0.1 patient in every 100 000 patients, 3 with a male-female ratio of 1.4:1. 4 The clinical presentation varies depending on the spinal level affected, and can evolve very quickly from minor symptoms to a complete neurological deficit. In most cases, only early diagnosis with urgent treatment can allow the recovery of neurological function, sometimes even being vital for survival.…”

Section: Introductionmentioning

confidence: 99%

Emergency surgery in a patient with large spontaneous spinal epidural hematoma determining excellent neurological recovery: review of the literature

et al. 2014

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Study design: Case report. Objectives: We report a case of a 75-year-old woman suffering from voluminous idiopathic spontaneous spinal epidural hematoma (SSEH) that was rapidly diagnosed and successfully treated. Methods: Clinical presentation was characterized by sudden and intense back pain that rapidly evolved into plegia of the right leg and severe paresis of the left leg. Hypoesthesia below T6 and urinary retention were also present. Magnetic resonance imaging showed a significant posterior spinal compression from T6 through L3 caused by an epidural hematoma that involved 10 metameric levels, extending for B20 cm, with a maximum thickness of 1.6 cm from T12 to L1. Results: Within 12 h, emergency decompressive laminectomy from T10 to L1 was performed, and evacuation of the hematoma was achieved. The postoperative course and neurological recovery of the patient were optimal. After discharge, the patient continued the rehabilitative treatment started during hospitalization, achieving an excellent functional outcome in 1 month. Conclusions: Spinal epidural hematoma (SEH) is a rare clinical finding that can occur following trauma or spontaneously (SSEH). We describe, to the best of our knowledge, the second most extensive idiopathic SSEH and the longest with involvement of the dorsolumbar spine that had a excellent functional outcome due to emergency decompressive laminectomy, which is emphasized in the treatment of these rare pathologies.

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Nontraumatic Spinal Epidural Hematoma: Report of Four Cases and Review of the Literature

Cited by 94 publications

References 17 publications

Surgical management of spontaneous spinal epidural hematoma

Surgical management of spontaneous spinal epidural hematoma

Multilevel Acute Spinal Epidural Hematoma in a Patient With Chronic Renal Failure-Case Report-

Emergency surgery in a patient with large spontaneous spinal epidural hematoma determining excellent neurological recovery: review of the literature

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