scholarly journals Spontaneous spinal epidural hematoma: a case report

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ooi Chin Sheng ◽  
Ren-Chieh Wu ◽  
I-Hsin Chang

Abstract Background Spinal epidural hematomas usually occur under certain conditions; they rarely occur spontaneously. The prevalence of spontaneous spinal epidural hematoma is ~ 0.1 per 100,000, and the male-to-female ratio is approximately 1.4 to 1. Herein, we describe a rare case of spontaneous spinal epidural hematoma. Case presentation A 63-year-old Taiwanese woman, with underlying hypertension, anemia, and a history of cardiovascular accident without sequela, was admitted to our emergency department with a chief complaint of sudden bilateral weakness in the lower limbs. Magnetic resonance imaging revealed a spontaneous epidural hematoma. The patient underwent emergency surgery to remove the epidural hematoma and laminectomy for decompression. The bilateral lower limb weakness was alleviated immediately after the surgery. Conclusion In patients with no risk factors related to spinal epidural hematoma, symptoms of bilateral lower limb weakness must be investigated carefully because this condition may occur spontaneously.

2016 ◽  
Vol 07 (02) ◽  
pp. 297-299 ◽  
Author(s):  
Shailendra Ratre ◽  
Yadram Yadav ◽  
Sushma Choudhary ◽  
Vijay Parihar

ABSTRACTSpontaneous spinal epidural hematoma is very uncommon cause of spinal cord compression. It is extremely rare in children and is mostly located in dorsal epidural space. Ventral spontaneous spinal epidural hematoma (SSEH) is even rarer, with only four previous reports in childrens. We are reporting fifth such case in a 14 year old male child. He presented with history of sudden onset weakness and sensory loss in both lower limbs with bladder bowel involvment since 15 days. There was no history of trauma or bleeding diasthesis. On clinical examination he had spastic paraplegia.Magnetic resonance imaging (MRI) of dorsal spine was suggestive of ventral spinal epidural hematoma extending from first to sixth dorsal vertebrae. Laminectomy of fourth and fifth dorsal vertebrae and complete evacuation of hematoma was done on the same day of admission. Postoperatively the neurological status was same.


2021 ◽  
Vol 16 (8) ◽  
pp. 2207-2210
Author(s):  
Darshan Gandhi ◽  
Anisa Chowdhary ◽  
Asim Kichloo ◽  
Jagmeet Singh ◽  
Love Patel ◽  
...  

Author(s):  
Paula Vela Martín ◽  
Carolina Parra Esteban ◽  
Javier Ortega Marcos ◽  
Mario Carretero Rodrigo ◽  
Inés Lipperheide Vallhonrat ◽  
...  

Spinal Cord ◽  
2006 ◽  
Vol 45 (8) ◽  
pp. 586-590 ◽  
Author(s):  
J-S Lee ◽  
C-Y Yu ◽  
K-C Huang ◽  
H-W Lin ◽  
C-C Huang ◽  
...  

QJM ◽  
2011 ◽  
Vol 105 (7) ◽  
pp. 705-706 ◽  
Author(s):  
M.-O. Chang ◽  
E. S. Koh ◽  
M. J. Kim ◽  
Y. S. Chang ◽  
S. Chung

2001 ◽  
Vol 50 (3) ◽  
pp. 723-725
Author(s):  
Kotaro Shiraishi ◽  
Ikuhide Taniguchi ◽  
Hiroyuki Kitahara

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