Spinal epidural haematoma: report of 11 cases and review of the literature

Boukobza, Monique; Guichard, Jean‐Pierre; Boissonet, M.; George, Bernard; Reizine, D.; Gelbert, F.; Merland, J. J.

doi:10.1007/bf00593683

Cited by 127 publications

(68 citation statements)

References 19 publications

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“…Acute vertebral pain was the most common presenting symptom followed by cord compression syndrome (4). MRI was the investigation of choice as it can readily distinguish spinal epidural haematoma from other lesions (2,5). Spinal epidural haematoma was isointense in T1-weighted images and hyperintense in T2- weighted images on MRI (4).…”

Section: Discussionmentioning

confidence: 99%

Spinal epidural hematoma due to anticoagulant therapy: a case report and literature review

2016

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This case report is to enlighten the awareness on spinal epidural haematoma due to warfarin. A 58-year-old man who had been on prophylactic anticoagulant therapy after aortic valve replacement since 1998, had presented with acute onset of reduced sensation and weakness in both lower extremities 3 days prior to the admission to our centre. His prothrombin time (PT) was 46.8 seconds, international normalized ratio (INR) was 5.11, and activated partial thromboplastin time (APTT) was 167.6 seconds (control, 31.3-46.1 seconds). Magnetic resonant imaging scan revealed haematoma in post epidural space at the level of Lumbar 2 and 3. He underwent evacuation and posterior instrumentation on the 6th day. Spinal epidural haematoma should be included in the differential diagnosis of progressive spinal cord and nerve root compression in patients whom are receiving anticoagulant therapy. Prompt diagnosis and early surgical decompression would positively lead to a good outcome.

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Section: Discussionmentioning

confidence: 99%

Spinal epidural hematoma due to anticoagulant therapy: a case report and literature review

2016

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“…[15][16][17][18] Including this case, only 51 cases of discogenic BSS have been published in English literatures. Nearly all of the cases were induced by cervical disc disorders, with only one exception resulting from thoracic disc herniation.…”

Section: Discussionmentioning

confidence: 99%

Brown-Sequard syndrome produced by calcified herniated cervical disc and posterior vertebral osteophyte: Case report

Guan

Wang

Clare

et al. 2015

Journal of Orthopaedics

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Brown-Sequard syndrome (BSS) produced by hemisection of the spinal cord will lead to ipsilateral motor weakness, proprioceptive and vibratory sensation loss and is associated with contralateral deficit in sensation of pain and temperature. BSS is most commonly caused by injuries and neoplasms in the cervical and thoracic region.1-5 BSS induced by disc disorders is rare; since the first published case in 1928, only 50 cases have been reported in English language literatures. 6-10This case is the 51st published discogenic BSS, which is produced by calcified herniated C4-C5 disc and posterior vertebral osteophyte. Contrast to previous cases with acute progression, features of BSS took place 7 years after the onset of initial radicular symptom in a quite chronic manner.This 53-year-old male patient had a 7-year history of mild pain and numbness in the left arm. During the 6 months before admission, he had experienced progressive weakness in the left arm and leg, along with contralateral deficit in sensation of pain and temperature below T11.Upon physical examination, features of BSS were shown, including ipsilateral weakness in the left arm and leg (MRC Grade 3/5), hypertonia and hyperreflexia in left lower extremity, as well as reduced contralateral sensation of pain and temperature below T11. In addition, Hoffmann sign, Babinski sign and ankle clonus test of the left side were positive.CT scan showed calcifications of herniated C4-C5 disc and posterior vertebral osteophyte of C5 (Fig. 1). MRI showed a large central left-sided C4-C5 disc herniation, compressing the spinal cord, leading to increased signal intensity on T2WI (Fig. 2). MRI of thoracic spine showed no positive result, eliminating disorders in the thoracic region (Fig. 3). j o u r n a l o f o r t h o p a e d i c s 1 2 ( 2 0 1 5 ) s 2 6 0 -s 2 6 3 a r t i c l e i n f o

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“…MRI features of epidural hematoma have been well described. 4,15 The hematoma is dorsally located and will span many spinal segments. In the sagittal section, the mass is biconvex shaped with tapering superior and inferior ends with well-defined margins.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous complete recovery of paraplegia caused by epidural hematoma complicating epidural anesthesia: a case report and review of literature

2005

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Study design: Case report. Setting: Tertiary referral spinal surgery center in South India. Objectives: To report a patient who developed epidural hematoma following epidural anesthesia causing acute paraplegia. Surgery was avoided due to concomitant gastrointestinal bleeding and poor general condition. Patient showed early signs of recovery with complete resolution of neurological deficits in 12 weeks. Conclusion: Surgery can be avoided in patients who show early signs of neurological recovery following epidural hematoma.

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Spinal epidural haematoma: report of 11 cases and review of the literature

Cited by 127 publications

References 19 publications

Spinal epidural hematoma due to anticoagulant therapy: a case report and literature review

Spinal epidural hematoma due to anticoagulant therapy: a case report and literature review

Brown-Sequard syndrome produced by calcified herniated cervical disc and posterior vertebral osteophyte: Case report

Spontaneous complete recovery of paraplegia caused by epidural hematoma complicating epidural anesthesia: a case report and review of literature

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