Delayed traumatic thoracic spinal epidural hematoma: a case report and literature review

Cheng T. Hsieh, Yung Hsiao Chiang, Chi T. Tang, Jui Ming Sun, Da Tong Ju

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Spinal epidural hematoma is a relatively uncommon disease, but an important cause leading to cord compression. Posttraumatic spinal epidural hematoma is a rare entity and remains a challenge for clinical physicians. Magnetic resonance imaging is the best choice for early diagnosis, and urgent surgical decompression with evacuation of hematoma could improve some neurologic deficits, especially vital cord functions. We presented a 77-year-old woman who sustained back pain after a fall 1 month before admission, complaining of progressive weakness and sensory loss in bilateral lower extremities since 2 weeks before admission. Radiography of the thoracic spine revealed decreased body height at T10 and compression fracture. Magnetic resonance imaging of the thoracic spine revealed epidural hematomas at the level of T11 to T12. An urgent decompressive laminectomy with evacuation of hematoma was performed immediately. Postoperatively, her previous neurologic deficits improved except for an underactive neurogenic bladder and fecal incontinence.

Original languageEnglish
Pages (from-to)69-71
Number of pages3
JournalAmerican Journal of Emergency Medicine
Volume25
Issue number1
DOIs
Publication statusPublished - Jan 2007
Externally publishedYes

Fingerprint

Spinal Epidural Hematoma
Hematoma
Thorax
Neurologic Manifestations
Spine
Thoracic Radiography
Magnetic Resonance Imaging
Compression Fractures
Surgical Decompression
Neurogenic Urinary Bladder
Fecal Incontinence
Body Height
Laminectomy
Back Pain
Early Diagnosis
Lower Extremity
Physicians

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Delayed traumatic thoracic spinal epidural hematoma : a case report and literature review. / Hsieh, Cheng T.; Chiang, Yung Hsiao; Tang, Chi T.; Sun, Jui Ming; Ju, Da Tong.

In: American Journal of Emergency Medicine, Vol. 25, No. 1, 01.2007, p. 69-71.

Research output: Contribution to journalArticle

Hsieh, Cheng T. ; Chiang, Yung Hsiao ; Tang, Chi T. ; Sun, Jui Ming ; Ju, Da Tong. / Delayed traumatic thoracic spinal epidural hematoma : a case report and literature review. In: American Journal of Emergency Medicine. 2007 ; Vol. 25, No. 1. pp. 69-71.
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