Chronic Spinal Epidural Hematoma Related to Kummell's Disease.
10.3340/jkns.2011.49.4.231
- Author:
Heyun Sung KIM
1
;
Seok Ki LEE
;
Seok Won KIM
;
Ho SHIN
Author Information
1. Department of Neurosurguery, Heori Sarang Hospital, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Spinal epidural hematoma;
Kummell's disease;
Percutaneous vertebroplasty
- MeSH:
Aged, 80 and over;
Back Pain;
Female;
Follow-Up Studies;
Fractures, Compression;
Hematoma;
Hematoma, Epidural, Spinal;
Humans;
Magnetic Resonance Imaging;
Magnetic Resonance Spectroscopy;
Spine;
Vertebroplasty
- From:Journal of Korean Neurosurgical Society
2011;49(4):231-233
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chronic spinal epidural hematoma related to Kummell's disease is extremely rare. An 82-year-old woman who had been managed conservatively for seven weeks with the diagnosis of a multi-level osteoporotic compression fracture was transferred to our institute. Lumbar spine magnetic resonance images revealed vertebral body collapse with the formation of a cavitary lesion at L1, and a chronic spinal epidural hematoma extending from L1 to L3. Because of intractable back pain, a percutaneous vertebroplasty was performed. The pain improved dramatically and follow-up magnetic resonance imaging obtained three days after the procedure showed a nearly complete resolution of the hematoma. Here, we present the rare case of a chronic spinal epidural hematoma associated with Kummell's disease and discuss the possible mechanism.
