Spontaneous spinal epidural haematoma

Lan, Tao; Yang, Chen; Yang, Xinjian; Hu, Shiyu; Guo, Weizhuang; Ren, Kai; Qian, W.; Yang, Zeyu

doi:10.1016/j.jot.2015.03.001

Cited by 9 publications

(29 citation statements)

References 18 publications

(19 reference statements)

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“…This definition also includes causes, such as a tumor, coagulopathy, vascular malformation, and cavernous angioma. 1,2,4,7 The age of patients has bimodal peaks, with an increase in the second and seventh decades. 7 Halim et al 10 demonstrated that there is no significant correlation with sex and race.…”

Section: Discussionmentioning

confidence: 99%

“…All of them presented only with minor neurologic symptoms at the examination and had rapid improvement. 1,2,4,8,10,14 Although these cases with minimal symptoms and no mass effect on the spinal cord in imaging may be managed successfully with conservative treatment, neurosurgeons should always be aware of the fact that the outcome of SSEH can be very poor when there is a mass effect and/or compression of the spinal cord. 8 In some cases, during the recovery phase of conservative treatment exacerbation of neurologic deficits may occur, which may require surgical evacuation.…”

Section: Discussionmentioning

confidence: 99%

“…This has prognostic significance because those with some residual function are more likely to show complete recovery. 4 Magnetic resonance imaging (MRI) is the modality of choice to diagnose the condition within the first 24 hours of onset, in which an SSEH is isointense to the cord on T1-weighted (T1W) images and is usually hyperintense and heterogeneous on T2-weighted (T2W) images. 5 By 48 hours the hematoma appears hyperintense on both T1W and T2W sequences.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Epidural Hematoma of Cervical Spine

et al. 2018

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Spontaneous cervical epidural hematoma is an uncommon cause of acute spinal cord compression. This is a rare idiopathic condition that leads to acute onset of neurologic deficits, which if not recognized early can have catastrophic consequences. Acute cervical epidural hematoma is definitely a condition of neurologic emergency. Although it is a rare condition, it must be considered in nontraumatic patients with sudden onset of neurologic deficits. Patients with spontaneous spinal epidural hematoma typically present with acute onset of severe back pain, and they rapidly develop signs of compression of the spinal cord or cauda equina. Here, we present a case of a 31-year-old man who presented with acute onset of neck pain with radicular component with progressive neurologic deficit. Emergent magnetic resonance imaging revealed cervical extradural hematoma with cord compression that was promptly evacuated. Functional recovery was achieved within 48 hours. The level of preoperative neurologic deficit and its severity, as well as operative interval, are important factors significantly affecting the postoperative outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spontaneous Epidural Hematoma of Cervical Spine

et al. 2018

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“…Neurological status at the time of presentation has prognostic significance as patients with some residual function tend to show complete recovery. 4 Magnetic Resonance Imaging (MRI) is the diagnostic modality of choice in suspected cases of SSEH. Acute SSEH presenting within the first 24 hours of the onset of symptoms appears isointense to the cord on T1-weighted (T1W1) images and hyperintense and heterogeneous on T2 weighted (T2W1) images.…”

Section: Introductionmentioning

confidence: 99%

Acute spontaneous epidural hematoma of cervical spine presenting as quadriparesis in a young patient: a case report

Katari¹,

Prasanna²

2020

Indonesian Journal of Neurosurgery

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Introduction: Spontaneous spinal epidural hematoma (SSEH) is a relatively uncommon pathology of the spine. The incidence of SSEH is approximately 0.1 -1 per 100,000 individuals. SSEH can cause acute spinal cord compression and rapid onset of neurologic deficits. Although rare, SSEH must be considered in the differential diagnosis of patients presenting with sudden onset of neurologic symptoms without a history of trauma. Case presentation: We report a case of a 19-year-old female patient who presented with sudden onset of weakness of all four limbs with pain in the upper cervical region. She has no history of trauma. Magnetic Resonance Imaging (MRI) of the spine was done, which showed an epidural mass in the cervical region, causing severe cord compression. Emergency cervical laminectomy and evacuation of epidural hematoma has was done with excellent post-operative recovery. Conclusion: Spontaneous spinal epidural hematoma is a relatively rare entity of the spine. The signs and symptoms of this rare condition are non-specific. In patients presenting with a sudden onset of neurologic deficits, the condition should be one of the differential diagnoses. MRI is the investigation of choice in patients suspected to have SSEH. Early surgical intervention results in a better outcome. The level of preoperative neurologic deficit, the severity of the condition, and operative interval are important factors affecting the postoperative outcome.

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“…Determining clinical-stage patients has a significant prognostic value because those who have at least partial function may make a full recovery. 6,7 Proper imaging and surgical intervention should be indicated as soon as patients show clinical signs suspicious for SSEH. 7 Until now, research on SSEH has not been sufficiently established.…”

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confidence: 99%

Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review

Tran

Nguyen

Truong

et al. 2021

Int Clin Neurosci J

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Spontaneous spinal epidural hematoma (SSEH) is a rare disease but may lead to life-threatening consequences if not timely diagnosed and managed. Emergent hematoma evacuation is indicated before neurological deficits become irreversible. We report two cases. The first case was a 45-year-old man brought to hospital because of an acute onset of quadriparesis and urinary incontinence. His cervical magnetic resonance imaging (MRI) showed an epidural hematoma at the C5-C6 level with severe spinal cord compression. He underwent an emergency C5-C6 right hemi-laminotomy to remove the clot and decompress the cord. Postoperatively, his left-sided deficits immediately resolved. His urinary function returned to normal two weeks after the surgery. He could independently walk two months later. The second case was a 57-year-old man admitted to the hospital because of severe neck pain and paresthesia in both arms. He had been using an antiplatelet for two months. His MRI revealed an epidural hematoma from C2 to C4 with spinal cord compression on the right. This patient was successfully treated with conservative treatment. If SSEH is left undiagnosed and untreated, the neurological deficits may be permanent. Early emergent hematoma evacuation contributes to a favorable outcome. Conservative management is reasonable if neurological deficits are not severe.

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Spontaneous spinal epidural haematoma

Cited by 9 publications

References 18 publications

Spontaneous Epidural Hematoma of Cervical Spine

Spontaneous Epidural Hematoma of Cervical Spine

Acute spontaneous epidural hematoma of cervical spine presenting as quadriparesis in a young patient: a case report

Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review

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