Spinal Epidural Hematoma

Binder, Devin K.; Sonne, D. Christian; Lawton, Michael T.

doi:10.1097/00013414-200403000-00009

Cited by 18 publications

(7 citation statements)

References 132 publications

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“…MRI, although more expensive than computerized tomography, offers several advantages, including delineating cord contusion from expansile masses, such as hematomas. To the trained eye, intraparenchymal lesions can be readily differentiated from extradural lesions (10,12). Contusions are typically hyperattenuated on T2-weighted images, as was with this patient.…”

Section: Discussionmentioning

confidence: 67%

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Nonhemorrhagic Cord Contusion After Percutaneous Fiducial Placement: Case Report and Surgical Recommendations

Stevens¹,

Dickerman²,

Kattner³

et al. 2006

The Journal of Spinal Cord Medicine

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Study Design: Single case report and extensive literature review.Objectives: To present the first such report of cervical cord contusion after the percutaneous placement of gold-seed fiducials. The pathomechanics and surgical recommendations are reviewed.Background: Spinal cord injuries are well documented in the medical literature. These injuries range from cord contusion to transection and result primarily from trauma. A single case report of a patient who was found to have a nonhemorrhagic cervical spinal cord contusion after percutaneous fiducial implantation is presented.

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Section: Discussionmentioning

confidence: 67%

“…Note the C5-C6 disk abuts, but does not efface, the thecal sac. persistent motor deficits might benefit from a physiatristdirected rehabilitation program (1,9,12). Novel techniques have been reported using altered neurons transfected into contused spinal cords in animal studies; however, human trials are in their infancy (14).…”

Section: Discussionmentioning

confidence: 99%

Nonhemorrhagic Cord Contusion After Percutaneous Fiducial Placement: Case Report and Surgical Recommendations

Stevens¹,

Dickerman²,

Kattner³

et al. 2006

The Journal of Spinal Cord Medicine

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“…Various medications such as antiplatelet, anticoagulant, or thrombolytic medications, such as aspirin, warfarin, heparin, tissue plasminogen activator, and streptokinase have been reported to be associated with SEHS. 13 Spontaneous epidural hematoma of the spine (SEHS) occurs most commonly in the dorsal or the cervico-dorsal spine. 14 Nontraumatic spontaneous spinal subdural hematoma should be distinguished from spinal subarachnoid hemorrhage, spinal epidural hemorrhage, or intraspinal hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous spinal epidural hematoma in a patient on oral anticoagulant (Dabigatran)

Taskeen¹

2020

MIJOMED

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“…One rare cause of such complication is the formation of a postoperative epidural hematoma (EDH)3. If detected early, surgical evacuation of the EDH and decompression of the spinal cord can result in marked neurological improvement4,5.…”

Section: Introductionmentioning

confidence: 99%

“…Postoperative neurological deficit after a decompressive cervical spine surgery is a rare but devastating complication 1 , 2 . One rare cause of such complication is the formation of a postoperative epidural hematoma (EDH) 3 . If detected early, surgical evacuation of the EDH and decompression of the spinal cord can result in marked neurological improvement 4 , 5 .…”

Section: Introductionmentioning

confidence: 99%

Epidural Hematoma Presenting with Severe Neck Pain without Neurological Deficit - A Late Complication of Posterior Cervical Spine Surgery: Presentation of Three Unusual Cases

et al. 2007

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Postoperative epidural hematoma (EDH) usually present with neurological deficit. Massive EDH presenting with only severe pain without neurological deficit are rare. Atypical presentations of postoperative EDHs may lead to delayed diagnosis and treatment. We present three such cases after posterior cervical spine surgery. Three patients presented with severe neck pain and spasms without motor deficits several days after posterior cervical decompressive procedures. Imaging studies identified compressive EDHs at the surgical site with severe compression of the spinal cord. All were treated with emergent decompression, with resulting improvement of symptoms and pain relief without further neurological sequelae. In conclusion, postoperative EDHs after posterior cervical spine surgery may result in minimal neurological deficit. Our report reminds surgeons to keep this possibility in mind when patients complain of unusually severe neck pain and spasms after posterior cervical spine surgery.

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Spinal Epidural Hematoma

Cited by 18 publications

References 132 publications

Nonhemorrhagic Cord Contusion After Percutaneous Fiducial Placement: Case Report and Surgical Recommendations

Nonhemorrhagic Cord Contusion After Percutaneous Fiducial Placement: Case Report and Surgical Recommendations

Spontaneous spinal epidural hematoma in a patient on oral anticoagulant (Dabigatran)

Epidural Hematoma Presenting with Severe Neck Pain without Neurological Deficit - A Late Complication of Posterior Cervical Spine Surgery: Presentation of Three Unusual Cases

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