No abstract available.
Hematoma, Epidural, Spinal* ; Hemorrhage*

No abstract available.
Hematoma, Epidural, Spinal* ; Meningioma*

Cervical spinal manipulation is considered to be a safe procedure for treating patients with neck pain and muscle-tension headache. Rarely has acute cervical spinal epidural hematoma after spinal manipulation been reported. Here, we report a 16-year-old healthy male adolescent who presented with progressive weakness in the right extremities following acute neck and shoulder pain after spinal manipulation from Acute cervical spinal epidural hematoma with compression of spinal cord. After emergency surgery the patient had full recovery from the profound neurological deficits.
Hematoma, Epidural, Spinal

Humans ; Hematoma, Epidural, Spinal

Spontaneous spinal epidural hematoma (SSEH) is a relatively rare but significant spinal condition. Urgent surgical evacuation of a hematoma is generally indicated to prevent serious permanent neurological deficits. We encountered three cases of spontaneous spinal epidural hematomas associated with motor weakness that were treated successfully by surgical intervention.
Hematoma ; Hematoma, Epidural, Spinal ; Laminectomy

We experienced 5 surgically confirmed cases of spontaneous lumbosacral spinal epidural hematoma. There was no history of major trauma to the lumbar spine, anticoagulant use, or coagulopathy except repeated minor trauma. The clinical findings in spontaneous spinal epidural hematoma were identical to those in acute disc herniation. These cases were combined with diffuse disc bulging and located in one level of intervertebral segment. Etiologic factors, the clinical findings, bleeding source of lumbo-sacral spontaneous epidural hematoma are stressed with review of patient literature.
Hematoma ; Hematoma, Epidural, Spinal* ; Hemorrhage ; Humans ; Spine

Nontraumatic spinal epidural hematoma (SEH) is a rare condition and the exact cause of the hemorrhage in SEH has never been established. However, there have been a few recent reports on some types of the epidural hematoma with a detectable origin of hemorrhage. We encountered a case of chronic SEH in a patient who had spondylolytic spondylolisthesis, which is also a rare condition to be associated with SEH. We report here on the radiologic findings of a case of chronic epidural hematoma in a patient who had spondylolytic spondylolisthesis at the L4-5 level, and we include a review of the related literatures.
Hematoma* ; Hematoma, Epidural, Spinal ; Hemorrhage ; Humans ; Spinal Cord ; Spondylolisthesis* ; Spondylolysis

Spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Although it is an uncommon cause of acute myelopathy, and it may require surgical evacuation. We report four patients with epidural hematoma developed after pain control procedures. Two procedures were facet joint blocks and the others were epidural blocks. Pain was the predominant initial symptom in these patients while two patients presented with post-procedural neurological deficits. Surgical evacuation of the hematoma was performed in two patients while in remaining two patients, surgery was initially recommended but not performed since symptoms were progressively improved. Three patients showed near complete recovery except for one patient who recovered with residual deficits. Although, spinal epidural hematoma is a rare condition, it can lead to serious complications like spinal cord compression. Therefore, it is important to be cautious while performing spinal pain control procedure to avoid such complications. Surgical treatment is an effective option to resolve the spinal epidural hematoma.
Acupuncture ; Hematoma ; Hematoma, Epidural, Spinal ; Humans ; Injections, Epidural ; Spinal Cord Compression ; Spinal Cord Diseases ; Zygapophyseal Joint

Hemorrhagic complications associated with aspirin use occur primarily at skin or gastrointestinal sites but can occasionally occur in the central nervous system. In particular, spontaneous spinal epidural hemorrhage (SSEH) associated with aspirin is very rare. We report a case of low-dose (100 mg daily) aspirin-related SSEH that was successfully treated with medical management. Our case indicates that low-dose aspirin could induce SSEH and that conservative treatment with close observation and repeated imaging studies should be considered in cases with neurological improvement or mild deficits.
Aspirin ; Central Nervous System ; Hematoma ; Hematoma, Epidural, Spinal ; Skin

The authors reviewed 16 cases of spontaneous spinal epidural hematoma(SSEH) described in the Journal of the Korean Neurosurgical Society and one case unpublished case of our own. Attention was focused on sex,age, medical history, position and vertebral level of the hematoma, preoperative neurological condition and operative result. This study comprised 17 patients, 14 males and 3 females, between five and 79 years old. All vertebral segments were affected, though the thoracic area predominated. In 13 patients, sensory and/or motor deficit was incomplete and in four, SSEH resulted in complete preoperative sensory and motor loss. In all patients, the hematomas were removed surgically through total laminectomy. In four, postoperative recovery was total, but in ten, was incomplete, and the neurological condition of three showed no improvement. We concluded that in cases of SSEH, this operation is the treatment of choice.
Aged ; Female ; Hematoma ; Hematoma, Epidural, Spinal* ; Humans ; Laminectomy ; Male