Spontaneous Spinal Epidural Hematoma of the Thoracic Spine in Young Adult: A Case Report.
10.4184/jkss.2008.15.3.194
- Author:
Soon Taek JEONG
1
;
Dong Hee KIM
;
Se Hyun CHO
;
Dae Cheol NAM
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Gyeongsang National University, Jinju, Korea. dhkim8311@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Spontaneous spinal epidural hematoma (SSEH);
Thoracic spine;
Young adult;
Operative treatment
- MeSH:
Back Pain;
Early Diagnosis;
Hematoma, Epidural, Spinal;
Hemorrhage;
Humans;
Incidence;
Male;
Paraplegia;
Risk Factors;
Spine;
Stress, Psychological;
Young Adult
- From:Journal of Korean Society of Spine Surgery
2008;15(3):194-198
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A spontaneous spinal epidural hematoma (SSEH) of the thoracic spine is a rare space-occupying disease that accompanied with severe axial pain in the spine. Because there is the possibility of a significant neurological injury such as paraplegia, SSEH requires careful diagnosis and management. A SSEH is mainly caused by a coagulating disorder or anticoagulant medication, while certain cases have shown that this disease is related with spinal inflammatory conditions. A SSEH tends to occur in patients who have risk factors for hemorrhage. However, the incidence of SSEH is quite low, and there are few domestic reports of a SSEH in young adults who are without the risk factors for hemorrhage. We encountered a 25 years old young male without a prior significant medical history and he was suffering from severe back pain and paraplegia due to a SSEH at the thoracic spine. The early diagnosis was made via MRI. We report here on a favorable clinical outcome that was achieved with immediate operative treatment, and we include a review of the relevant literature.
