Acute Nontraumatic Spinal Epidural Hematoma at Cervical Spine.
- Author:
Yong Woon CHO
1
;
Jae Gon MOON
Author Information
1. Department of Neurosurgery, College of Medicine, Kosin University, Busan, Korea. choyw@chollian.net
- Publication Type:Case Report
- Keywords:
Nontraumatic;
Acute;
Cervical;
Spinal epidural hematoma
- MeSH:
Aged;
Female;
Gadolinium;
Hematoma;
Hematoma, Epidural, Spinal*;
Humans;
Laminectomy;
Liver Cirrhosis;
Neck Pain;
Paresis;
Spinal Canal;
Spinal Cord;
Spine*;
Splenomegaly;
Thrombocytopenia
- From:Journal of Korean Neurosurgical Society
2003;34(3):268-270
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors report a case of acute nontraumatic spinal epidural hematoma which extending from C4 to C6. A 70-year-old woman was presented with neck pain and left hemiparesis. T1-weighted magnetic resonance image revealed a mass isointense to the spinal cord and the mass was slightly enhanced after administration of gadolinium. T2-weighted images revealed high signal in the left posterolateral part of the spinal canal at the level of C4-C6. Evacuation of an epidural hematoma was performed with laminectomy. The pathological examination did not reveal any malformation within this hematoma. The patient showed complete recovery of the deficits. Medical investigation yielded thrombocytopenia and splenomegaly derived from liver cirrhosis. Thrombocytopenia and mechanical factor may be considered as etiologic factors in this case.
