Angioma in the paraspinal muscles complicated by spinal epidural hematoma

1982 ◽  
Vol 57 (2) ◽  
pp. 274-277 ◽  
Author(s):  
Fumio Shima ◽  
Keiichi Mihara ◽  
Shoji Hachisuga
Keyword(s):  
Surgical Treatment ◽  
Epidural Hematoma ◽  
Spinal Epidural Hematoma ◽  
Paraspinal Muscles ◽  
Percutaneous Embolization ◽  
Content Type ◽  
Thoracolumbar Region ◽  
Spinal Epidural ◽  
Fine Print

✓ This case of angioma in the paraspinal muscles with extension into the epidural tissue was complicated by epidural hematoma in the thoracolumbar region. The hemorrhage was caused by rupture of the part of the angioma lying in the epidural tissue. A spinal bruit was of great value in diagnosing the angioma. Percutaneous embolization of the feeding arteries of the angioma reduced bleeding during surgery and contributed to successful surgical treatment.

Chronic spontaneous spinal epidural hematoma

1972 ◽  
Vol 36 (2) ◽  
pp. 239-242 ◽  
Author(s):  
Harry R. Boyd ◽  
Bertram L. Pear
Keyword(s):  
Epidural Hematoma ◽  
Cauda Equina ◽  
Cord Compression ◽  
Spinal Epidural Hematoma ◽  
Content Type ◽  
Spontaneous Spinal Epidural Hematoma ◽  
Epidural Hemorrhage ◽  
Spinal Epidural ◽  
Definite Treatment ◽  
Fine Print

✓ Two cases of spontaneous chronic spinal epidural hematoma are reported. Epidural hematoma in the region of the spinal cord produces dramatic signs of cord compression leading to early diagnosis and treatment, while epidural hemorrhage in the region of the cauda equina is insidious in its onset and tends to become chronic before definite treatment is undertaken.

Spontaneous spinal epidural hematoma in a 22-month-old girl

1982 ◽  
Vol 56 (1) ◽  
pp. 135-138 ◽  
Author(s):  
Bernard Vallée ◽  
Gérard Besson ◽  
Jean Gaudin ◽  
Hervé Person ◽  
Jean-Marie Le Fur ◽  
...  
Keyword(s):  
Epidural Hematoma ◽  
Complete Recovery ◽  
Spinal Epidural Hematoma ◽  
Cervical Pain ◽  
Neck Stiffness ◽  
Content Type ◽  
Spontaneous Spinal Epidural Hematoma ◽  
History Of ◽  
Spinal Epidural ◽  
Fine Print

✓ The authors report the case of a 22-month-old girl who developed cervical pain, neck stiffness, and quadriparesis over 12 days. An epidural hematoma was removed, with complete recovery after 6 months. There was no history of trauma. A search of the literature revealed eight previous cases of spontaneous spinal epidural hematomas in children under the age of 10 years.

Experience in the surgical management of spontaneous spinal epidural hematoma

2004 ◽  
Vol 100 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Cheng-Chih Liao ◽  
Shih-Tseng Lee ◽  
Wen-Chin Hsu ◽  
Li-Rong Chen ◽  
Tai-Ngar Lui ◽  
...  
Keyword(s):  
Epidural Hematoma ◽  
Anticoagulation Therapy ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Time Interval ◽  
Content Type ◽  
Spontaneous Spinal Epidural Hematoma ◽  
History Of ◽  
Spinal Epidural ◽  
Fine Print

Object. Spontaneous spinal epidural hematoma (SSEH) is a rare disease entity. Although many cases have been reported in the literature, controversy persists as to its origin, diagnosis, and timing of treatment. The authors conducted a study in patients treated in their hospital and report the results. Methods. Clinical data obtained in 35 patients with SSEH were retrospectively reviewed. Age, sex, history of hypertension, and history of anticoagulation therapy were recorded, and data were analyzed to clarify the possible predisposing factors of SSEH. Neurological outcomes were reappraised using a standardized grading system and correlated with the time interval from initial ictus to surgery, duration of complete neurological deficits, and the rapidity of deterioration of paralysis. Nonparametric methods and Spearman rank-correlation coefficients were used for statistical analysis. Conclusions. Surgery is a safe and effective procedure to treat SSEH. The disease-related mortality rate was 5.7%, the surgery-related complication rate was 2.9%, and there were no operation-related deaths. Neurological outcome after surgery is positively correlated with preoperative neurological deficits (88.9% complete recovery in patients with incomplete neurological deficits compared with 37.5% in those with complete deficits [p < 0.001]). In patients in whom the time interval from initial ictus was shorter (< 48 hours) and in whom the duration of complete neurological symptoms was also briefer (< 12 hours), there is a positive correlation with better neurological and functional recovery (p < 0.05).

scholarly journals Indications and Timing for Conservative Treatment and Surgical Treatment in Acute Spinal Epidural Hematoma

2015 ◽  
Vol 29 (3) ◽  
pp. 310-314 ◽  
Author(s):  
Yoshiro Musha ◽  
Keisuke Ito ◽  
Takahide Sunakawa ◽  
Hiromasa Nagahari ◽  
Hiroyasu Ikegami ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Epidural Hematoma ◽  
Spinal Epidural Hematoma ◽  
Spinal Epidural

Angiographic demonstration of a spinal epidural arteriovenous malformation

1993 ◽  
Vol 79 (1) ◽  
pp. 119-120 ◽  
Author(s):  
William C. Olivero ◽  
William C. Hanigan ◽  
Kerry W. McCluney
Keyword(s):  
Magnetic Resonance Imaging ◽  
Arteriovenous Malformation ◽  
Epidural Hematoma ◽  
Spinal Angiography ◽  
Resonance Imaging ◽  
Thoracic Pain ◽  
Content Type ◽  
Angiographic Demonstration ◽  
Spinal Epidural ◽  
Fine Print

✓ A 16-year-old boy presented with acute midline thoracic pain followed by rapidly progressive paraplegia. The initial neurological examination demonstrated a complete sensory and motor paraplegia, which significantly improved spontaneously over the following 2 days. Magnetic resonance imaging revealed a posterior epidural hematoma extending from the T-4 to T-6 vertebrae, and spinal angiography demonstrated an arteriovenous malformation (AVM) with a nidus of abnormal epidural vessels at the level of the T-5 vertebra, which was confirmed surgically. This case represents one of the first reports of a spinal epidural AVM confirmed by angiography.

Spinal epidural vascular malformation presenting in association with a spontaneously resolved acute epidural hematoma

1998 ◽  
Vol 88 (5) ◽  
pp. 909-911 ◽  
Author(s):  
Yasushi Miyagi ◽  
Masayuki Miyazono ◽  
Kazufumi Kamikaseda
Keyword(s):  
Vascular Malformation ◽  
Therapeutic Strategy ◽  
Epidural Hematoma ◽  
Spinal Epidural Hematoma ◽  
Vertebral Angiography ◽  
Content Type ◽  
Upper Cervical ◽  
Acute Epidural Hematoma ◽  
Spinal Epidural ◽  
Acute Neck Pain

✓ A 16-year-old boy developed acute neck pain and severe quadriparesis after mild rotatory movement of his neck. Magnetic resonance imaging revealed a cervical epidural hematoma that resolved spontaneously within a few days. Vertebral angiography demonstrated a small vascular malformation in the upper cervical epidural space. The vascular mass on the dural surface was totally resected and confirmed to be an arteriovenous malformation. This case represents the importance of including routine angiography in designing therapeutic strategy for cases of spinal epidural hematoma with spontaneous resolution.

Spinal epidural hematoma following coronary thrombolysis with tissue plasminogen activator

1995 ◽  
Vol 83 (2) ◽  
pp. 350-353 ◽  
Author(s):  
Paul D. Sawin ◽  
Vincent C. Traynelis ◽  
Kenneth A. Follett
Keyword(s):  
Thrombolytic Therapy ◽  
Plasminogen Activator ◽  
Epidural Hematoma ◽  
Cord Compression ◽  
Neurological Dysfunction ◽  
Tissue Type ◽  
Current Status ◽  
Spinal Epidural Hematoma ◽  
Content Type ◽  
Spinal Epidural

✓ Two cases of spinal epidural hematoma following intravenous administration of recombinant tissue-type plasminogen activator are presented. Both patients received thrombolytic therapy for acute myocardial infarction; back pain and progressive neurological dysfunction ensued, secondary to spinal cord compression caused by epidural hematoma. Both individuals underwent emergency surgery for decompression and hematoma evacuation, resulting in improvement in neurological function. The current status of thrombolytic therapy is reviewed, with emphasis on complications of therapy that require neurosurgical intervention.

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