Spontaneous Spinal Epidural Hematoma on the Ventral Portion of Whole Spinal Canal: A Case Report.
10.14245/kjs.2015.12.3.173
- Author:
Hyun Ho LEE
1
;
Sung Choon PARK
;
Young KIM
;
Young Soo HA
Author Information
1. Department of Neurosurgery, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. psc710@mjh.or.kr
- Publication Type:Case Report
- Keywords:
Spontaneous spinal epidural hematoma;
Quadriplegia;
Surgical treatment;
Functional recovery
- MeSH:
Adult;
Back Pain;
Chest Pain;
Diagnosis;
Epidural Space;
Headache;
Hematoma;
Hematoma, Epidural, Spinal*;
Humans;
Laminectomy;
Magnetic Resonance Imaging;
Male;
Neurologic Manifestations;
Paresthesia;
Quadriplegia;
Spinal Canal*;
Spinal Cord;
Spinal Cord Compression
- From:Korean Journal of Spine
2015;12(3):173-176
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous spinal epidural hematoma is an uncommon but disabling disease. This paper reports a case of spontaneous spinal epidural hematoma and treatment by surgical management. A 32-year-old male presented with a 30-minute history of sudden headache, back pain, chest pain, and progressive quadriplegia. Whole-spinal sagittal magnetic resonance imaging (MRI) revealed spinal epidural hematoma on the ventral portion of the spinal canal. Total laminectomy from T5 to T7 was performed, and hematoma located at the ventral portion of the spinal cord was evacuated. Epidural drainages were inserted in the upper and lower epidural spaces. The patient improved sufficiently to ambulate, and paresthesia was fully recovered. Spontaneous spinal epidural hematoma should be considered when patients present symptoms of spinal cord compression after sudden back pain or chest pain. To prevent permanent neurologic deficits, early and correct diagnosis with timely surgical management is necessary.
