Spinal Epidural Hematoma

Al-Mutair, Abdulaziz; Bednar, Drew A.

doi:10.5435/00124635-201008000-00006

Cited by 86 publications

(103 citation statements)

References 48 publications

Supporting

Mentioning

100

Contrasting

Unclassified

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…SSEHs often present with an abrupt onset of severe neck or back pain that can radiate into the extremities and commonly is followed by symptoms ranging from nerve root agitation to full neurologic impairment (1,(2)(3)(4)7,8). The symptoms typically are that of a lower motor neuron pathology with hyporeflexia and flaccid paralysis (1). There can be a delay in the time from the onset of back pain to neurologic decline, and symptom presentation has been documented to range from within hours to several days or even months from the onset of the back pain (1,3,7).…”

Section: Discussionmentioning

confidence: 99%

“…The symptoms typically are that of a lower motor neuron pathology with hyporeflexia and flaccid paralysis (1). There can be a delay in the time from the onset of back pain to neurologic decline, and symptom presentation has been documented to range from within hours to several days or even months from the onset of the back pain (1,3,7). Early suspicion and diagnostic imaging are critical, though, as SSEHs can produce devastating, lasting neurologic deficits ranging from persistent paresis to even death (7).…”

Section: Discussionmentioning

confidence: 99%

“…Spinal epidural hematomas are a rare occurrence, accounting for less than 1% of all spinal canal space-occupying lesions (1,2). 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).…”

Section: Introductionmentioning

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). SSEHs can produce devastating neurologic deficits (6,7).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Spontaneous spinal epidural hematoma: literature review

2017

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spontaneous spinal epidural hematoma: literature review

2017

View full text Add to dashboard Cite

show abstract

Venous drainage of the spine and spinal cord: A comprehensive review of its history, embryology, anatomy, physiology, and pathology

et al. 2014

View full text Add to dashboard Cite

Venous drainage of the spine and spinal cord is accomplished through a complex network of venous structures compartmentalized to intrinsic, extrinsic, and extradural systems. As the literature on this topic is scarce, the following review was performed to summarize the available literature into a single coherent format. The medical literature on the spinal venous system was reviewed using online sources as well as historical documents that were not available online in regard to history, embryology, anatomy, and physiology with a particular emphasis on the pathology affecting this system. The spinal venous system is complex and variable. Proper understanding of all aspects is critical for the management of the pathology that results from its failure.

show abstract