Abstract

Spontaneous spinal epidural hematoma is a rare but significant condition of spinal cord compression. Urgent decompressive surgery is generally indicated to prevent serious permanent neurological deficits and improve outcome. We encountered a case of an 83-yearold woman who sustained sudden onset of severe back pain, followed by progressive weakness and numbness over bilateral lower limbs. Magnetic resonance imaging of thoracic and lumbar spine demonstrated an epidural mass extending from T9 through L4, causing spinal cord and thecal sac compression. Emergent decompressive surgery was performed, and epidural hematoma was diagnosed postoperatively; the patient had significant improvement of neurologic deficits. The relevant literature is also reviewed.

Original languageEnglish
Pages (from-to)40-42
Number of pages3
JournalJournal of Medical Sciences (Taiwan)
Volume35
Issue number1
DOIs
Publication statusPublished - Jan 1 2015

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Spinal Epidural Hematoma
Spinal Cord Compression
Hypesthesia
Back Pain
Neurologic Manifestations
Hematoma
Lower Extremity
Spinal Cord
Spine
Thorax
Magnetic Resonance Imaging

Keywords

  • Anti-platelet
  • Decompressive surgery
  • Spinal epidural hematoma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Spinal spontaneous epidural hematoma. / Tsou, Yi Syue; Chiang, Yung Hsiao; Lin, Jiann Her.

In: Journal of Medical Sciences (Taiwan), Vol. 35, No. 1, 01.01.2015, p. 40-42.

Research output: Contribution to journalArticle

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