Spontaneous spinal epidural hematoma: findings at MR imaging and clinical correlation.

Holtås, Stig; Heiling, M; Lönntoft, Mats

doi:10.1148/radiology.199.2.8668786

Cited by 331 publications

(271 citation statements)

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“…However, conservative treatment with spontaneous resolution of the hematoma may be preferred to surgical decompression. 3,5,11,14,17,21,24) Surgical treatment of multilevel ASEH manifesting as progressive neurological deficit associated with coagulation defect is very challenging.…”

Section: Introductionmentioning

confidence: 99%

Multilevel Acute Spinal Epidural Hematoma in a Patient With Chronic Renal Failure-Case Report-

Ziyal

Aydın

İnci

et al. 2003

Neurol. Med. Chir.(Tokyo)

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A 47-year-old female with diabetic nephropathy presented with acute onset of severe back pain and progressive weakness in both lower extremities. Neuroimaging revealed a spinal epidural hematoma extending from the T-3 vertebra to the sacrum. Removal of all or every other lamina on levels with epidural hematoma and emergent evacuation of the hematoma were planned. T-9 and T-10 laminectomies were performed, but excessive bleeding during the operation prompted us to abandon the procedure. Plasma and desmopressin administration controlled the bleeding from the drain 8 hours after the operation. Follow-up neuroimaging one month later revealed total resolution of the hematoma with improved neurological status. Acute spinal epidural hematomas extending over more than 15 segments are extremely rare and the surgical treatment is still challenging. Coexisting hemorrhagic diathesis creates more problems. Conservative treatment may be the best option.

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Section: Introductionmentioning

confidence: 99%

Multilevel Acute Spinal Epidural Hematoma in a Patient With Chronic Renal Failure-Case Report-

Ziyal

Aydın

İnci

et al. 2003

Neurol. Med. Chir.(Tokyo)

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“…Spontaneous cervical epidural hematoma is very rare with an incidence of approximately 0.1 per 100,000 patients annually,3 and is not generally considered as an important differential diagnosis of TIA. However, if misdiagnosed as TIA and antiplatelet therapy is initiated, cervical epidural hematoma could deteriorate, which might require emergency decompressive laminectomy and result in permanent sequela or death 4, 5.…”

Section: Figurementioning

confidence: 99%

Spontaneous cervical epidural hematoma mimicking a transient ischemic attack

Kudo

Soma

Tanaka

et al. 2018

Acute Medicine & Surgery

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“…1 Patients typically present with sudden onset of acute back or neck pain. Accumulation of hematoma in the epidural space may compress the spinal cord or nerve roots and potentially cause neurological damage to patients.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Conventional MRI can estimate when the bleeding occurred, based on the signal intensities of hematomas in T1-and T2-weighted images. 1 Such information is valuable since it would determine whether emergent surgical evacuation of the hematoma is indicated to control the bleeding and decompress the spinal cord.…”

Section: Introductionmentioning

confidence: 99%

Prediction of neurological recovery in spontaneous spinal epidural hematoma using apparent diffusion coefficient values

et al. 2014

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Objective: Magnetic resonance imaging (MRI) is useful in diagnosing spontaneous spinal epidural hematoma (SSEH). The purpose of the present study is to determine whether apparent diffusion coefficient (ADC) values could determine severity of spinal cord damage and predict functional recovery in SSEH. Methods: The study involved four consecutive patients with SSEH (two men and two women: aged 21-76 years). Using axial slices, ADC values were determined in four separate regions of the spinal cord. These areas were classified into the following three groups based on findings in T2-weighted images: normal T2 intensity; persistent T2 abnormality; and temporary T2 abnormality. ADC values among different groups were compared. The relationship between preoperative ADC values and neurological grades were also evaluated. Results: ADC values in normal T2 areas were 0.89 ± 0.10 Â 10 À3 mm 2 s À1 , whereas those for the persistent T2 abnormality group were significantly lower (0.63 ± 0.14 Â 10 À3 ). In a patient who was Frankel A on admission and in the follow-up, the ADC value was as low as 0.41 Â 10 À3 . Functional recovery was also limited in the spinal cord segments with lower ADC values. In the temporary T2 abnormality group, ADC values were significantly higher (1.05±0.10 Â 10 À3 ). Conclusions:In SSEH, if MRI demonstrated T2-hyperintensity with lower ADC values, patients may suffer from irreversible spinal cord damages. ADC values of the spinal cord can be added as a new factor that reliably indicated the severity of spinal cord damage and predicted functional recovery.

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Spontaneous spinal epidural hematoma: findings at MR imaging and clinical correlation.

Abstract: A rough estimation of the incidence of SSEH is provided,and the results confirm the previously described association with minor trauma and anticoagulant therapy and low frequency of arteriovenous malformations.

Cited by 331 publications

References 0 publications

Multilevel Acute Spinal Epidural Hematoma in a Patient With Chronic Renal Failure-Case Report-

Multilevel Acute Spinal Epidural Hematoma in a Patient With Chronic Renal Failure-Case Report-

Spontaneous cervical epidural hematoma mimicking a transient ischemic attack

Prediction of neurological recovery in spontaneous spinal epidural hematoma using apparent diffusion coefficient values

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