Spontaneous Spinal Epidural Hematoma Causing Brown-Sequard Syndrome: Case Report and Review of the Literature

Riaz, Salman; Jiang, Haochuan; Fox, Richard; Lavoie, Michel; Mahood, James

doi:10.1016/j.jemermed.2007.02.032

Cited by 38 publications

(39 citation statements)

References 10 publications

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“…Up to now, there have been disputes about the origin of these hematomas. Most researchers assert that SSEHs arise from the epidural venous plexus in the spinal epidural space because it lacks venous valves, and undulating pressure from the thoracic and abdominal cavities can impact it directly 5,7,11) . Several authors have prop-osed the spinal epidural arteries as a source of hemorrhage 13) .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma

Baek

Hur

Kwon

et al. 2008

J Korean Neurosurg Soc

118

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Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma

Baek

Hur

Kwon

et al. 2008

J Korean Neurosurg Soc

118

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“…Most patients with SSEH present with severe back and/or neck pain, which often involves a radicular component 10. The pain is usually followed by progressive motor or sensory deficits.…”

Section: Discussionmentioning

confidence: 99%

Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men

Hongo

Iseda

Tsuchiya

et al. 2017

Acute Medicine & Surgery

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CasesSpontaneous spinal epidural hematoma (SSEH) is an uncommon disease. Most SSEH cases involve back and/or neck pain. We report the cases of two men who experienced SSEH with dysstasia but without back or neck pain.OutcomesThis study presents two cases involving elderly Japanese men who visited an emergency department because of sudden dysstasia without back or neck pain. The results of the neurological examinations revealed ataxic gait. Cervical spinal epidural hematomas were observed by computed tomography and magnetic resonance imaging. One patient underwent hematoma removal and decompression by corpectomy, whereas the other patient received conservative treatment and observation. The patients were discharged without sequelae.ConclusionSpinal epidural hematomas are difficult to diagnose, and a delayed diagnosis can adversely affect the patient's quality of life. These hematomas should be considered in the differential diagnosis of cerebrovascular diseases.

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“…Subacute hematomas show characteristic high signal intensity on T1-weighted images, low signal intensity on theT2 weighted images [7] [23]. A Computed Tomography (CT) scan should be obtained if MRI is unavailable or contraindicated [23] [24]. The differential diagnosis of spontaneous spinal epidural hematoma includes an acute herniated intervertebral disc, acute ischemia of the spinal cord, epidural tumor or abscess, spondylitis, transverse myelitis, or even a dissecting aortic aneurysm and acute myocardial infarction [25].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma Causing Paraplegia: A Case Report

Coulibaly¹,

Habibou²,

Régis³

et al. 2015

WJNS

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A spontaneous spinal epidural hematoma without any identified etiology is a very rare entity. We report here a 44 years old woman admitted within our department for 04 days of severe back pain complicated rapidly of bilateral lower-limbs weakness and urinary retention. Neurological examination found a complete paraplegia (0/5 stergh), with incomplete sensory deficit below the T-10 level, bowel and bladder dysfunction, decreased deep and superficial reflex. MRI with different sequences showed a large epidural mass lesion with slightly high signal intensity on T1-weighted images and heterogeneous low signal intensity on T2-weighted images from T11 to L1 suggesting an epidural hematoma. She underwent an urgent total laminectomy from T11 to L1 following by a complete removal of a large dark and compact epidural hematoma compressing the spinal cord. Operatively, there's no sign suggesting an AVM. Postoperative course was uneventful and she was discharged ten days after surgery with complete recovery.

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Spontaneous Spinal Epidural Hematoma Causing Brown-Sequard Syndrome: Case Report and Review of the Literature

Cited by 38 publications

References 10 publications

Spontaneous Spinal Epidural Hematoma

Spontaneous Spinal Epidural Hematoma

Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men

Spontaneous Spinal Epidural Hematoma Causing Paraplegia: A Case Report

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