Cervicothoracic epidural hematoma after chiropractic spinal manipulation therapy

2007 ◽  
Vol 7 (5) ◽  
pp. 571-574 ◽  
Author(s):  
Maurizio Domenicucci ◽  
Alessandro Ramieri ◽  
Maurizio Salvati ◽  
Christian Brogna ◽  
Antonino Raco
Keyword(s):  
Epidural Hematoma ◽  
Unique Feature ◽  
Rare Complication ◽  
Complete Recovery ◽  
Good Health ◽  
Spinal Epidural Hematoma ◽  
Manipulation Therapy ◽  
Cervical Spine Manipulation ◽  
Spinal Epidural ◽  
Brown Sequard Syndrome

✓A spinal epidural hematoma is an extremely rare complication of cervical spine manipulation therapy (CSMT). The authors present the case of an adult woman, otherwise in good health, who developed Brown–Séquard syndrome after CSMT. Decompressive surgery performed within 8 hours after the onset of symptoms allowed for complete recovery of the patient's preoperative neurological deficit. The unique feature of this case was the magnetic resonance image showing increased signal intensity in the paraspinal musculature consistent with a contusion, which probably formed after SMT. The pertinent literature is also reviewed.

scholarly journals Delayed traumatic spinal epidural hematoma with neurological deficits

2010 ◽  
Vol 8 (4) ◽  
pp. 477-479 ◽  
Author(s):  
Luciano Miller Reis Rodrigues ◽  
Felipe Abreu ◽  
Edison Noboru Fujiki ◽  
Carlo Milani
Keyword(s):  
Epidural Hematoma ◽  
Traumatic Event ◽  
Complete Recovery ◽  
Rehabilitation Program ◽  
Neurologic Deficit ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Variable Degree ◽  
Progressive Neurological Deficit ◽  
Spinal Epidural

ABSTRACT To describe the mechanism that causes spinal epidural hematoma with neurologic deficit and review the literature. We report a case of a 62-year-old man with post-traumatic epidural hematoma in the cervicothoracic spine, who developed progressive neurological deficit which eventually resulted in complete paralysis below T1. During surgical evacuation significant spine compression due to an organizing hematoma was observed. After surgery, the patient's motor function improved and there was a complete recovery of the neurologic deficit after a rehabilitation program. Conclusion: Epidural hematoma can happen after delayed traumatic event leading to a variable degree of neurologic damage.

Spontaneous spinal epidural hematoma presenting as Brown-Séquard syndrome

2013 ◽  
Vol 31 (4) ◽  
pp. 757.e3-757.e4 ◽  
Author(s):  
Jung-In Ko ◽  
Taikwan Kim ◽  
Cheol Su Jwa ◽  
Ji Yeon Jang ◽  
Ki Young Jeong ◽  
...  
Keyword(s):  
Epidural Hematoma ◽  
Spinal Epidural Hematoma ◽  
Spontaneous Spinal Epidural Hematoma ◽  
Spinal Epidural ◽  
Brown Sequard Syndrome

scholarly journals Conservative Treatment of Acute Spontaneous Spinal Epidural Hematoma

1998 ◽  
Vol 25 (2) ◽  
pp. 159-163 ◽  
Author(s):  
Peter A. Pahapill ◽  
Stephen P. Lownie
Keyword(s):  
Epidural Hematoma ◽  
Standard Treatment ◽  
Surgical Intervention ◽  
Operative Therapy ◽  
Complete Recovery ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Spontaneous Spinal Epidural Hematoma ◽  
Spinal Epidural ◽  
Sustained Recovery

ABSTRACT:Background:In cases of acute spontaneous spinal epidural hematoma producing neurological deficits, emergency surgical evacuation is the standard treatment.Methods:Such a case is presented in which complete resolution of neurological deficits occurred without surgical intervention.Results:This is the fifth reported case of complete recovery in a patient managed conservatively. In most reports, significant and sustained neurological recovery had occurred within 12 hours of impairment of walking.Conclusion:In cases of acute spontaneous spinal epidural hematoma in which neurological deterioration is followed by early and sustained recovery, non-operative therapy may be considered.

Spinal epidural hematoma and the Brown-Sequard syndrome

Neurology ◽  
1971 ◽  
Vol 21 (10) ◽  
pp. 1066-1066 ◽  
Author(s):  
B. S. Russman ◽  
K. H. Kazi
Keyword(s):  
Epidural Hematoma ◽  
Spinal Epidural Hematoma ◽  
Spinal Epidural ◽  
Brown Sequard Syndrome

scholarly journals Acute cervical epidural hematoma: case report

2000 ◽  
Vol 58 (3A) ◽  
pp. 726-730 ◽  
Author(s):  
GUILHERME BORGES ◽  
LEONARDO BONILHA ◽  
MARCOS VINICIUS CALFAT MALDAUM ◽  
JOSÉ RIBEIRO MENEZES ◽  
VERÔNICA ZANARDI
Keyword(s):  
Epidural Hematoma ◽  
Carotid Arteries ◽  
Central Nervous System Infection ◽  
Complete Recovery ◽  
Neurological Impairment ◽  
Spinal Epidural Hematoma ◽  
Selective Angiography ◽  
Vertebral Arteries ◽  
Cardiac Assessment ◽  
Spinal Epidural

A 74 year-old patient with a nocturnal onset of neck and chest pain was brought to an emergency clinic. Physical examination and cardiac assessment were normal. Three hours after the addmittance, a flaccid paralysis of the four limbs supervened. Suspecting of an unusual onset of central nervous system infection, a lumbar puncture was performed, yielding 20 ml of normal cerebrospinal fluid. Thirty oinutes after the puncture, the patient completely regained neurological funcion. He was then referred to a General Hospital where a computed tomography (CT) scan was done showing a large cervical epidural bleeding in the posterolateral region of C4/C5 extending to C7/Th1, along with a C6 vertebral body hemangioma. A magnetic resonance imaging revealed the same CT findings. A normal selective angiography of vertebral arteries, carotid arteries and thyreocervical trunk was carried out. Spontaneous spinal epidural hematoma (ASSEH) is a rare but dramatic cause of neurological impairment. In this article we report a fortunate case of complete recovery after an unusual spine cord decompression. We also review the current literature concerning diagnosis and treatment of ASSEH.

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.

scholarly journals Non-traumatic Causes of Brown-sequard Syndrome: A Case Series and Clinical Update With Systematic Review

2021 ◽  
Vol 7 (2) ◽  
pp. 92-106
Author(s):  
Vaner Köksal ◽  
◽  
Mahmoud Osama ◽  
Mohammed Ali Alvi ◽  
◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Canal ◽  
Epidural Hematoma ◽  
Complete Recovery ◽  
Spinal Canal Stenosis ◽  
Spinal Epidural Hematoma ◽  
Traumatic Injuries ◽  
Canal Stenosis ◽  
Cervical Spinal Canal ◽  
Brown Sequard Syndrome

Background and Importance: Brown-Sequard Syndrome (BSS) is a rare neurological condition resulting from a hemisection injury to or unilateral compression on the spinal cord. The common causes of BSS that are amenable to be treated surgically can be divided into traumatic and non-traumatic injuries. Traumatic injuries are often reported as the main cause of BSS. However, non-traumatic injuries of the spinal cord are more seen in recent years. This study aims to classify and update surgically treatable causes of BSS. Case Presentation: Retrospective data of 17 patients operated for BSS between 2008 and 2020 were included. The long-term outcomes of these patients were evaluated. In addition, a comprehensive search in PubMed, Scopus, and CINAHL was conducted for the retrieval of all relevant studies. Results: Magnetic Resonance Image (MRI) of our patients revealed Cervical Disc Herniation (CDH), spinal canal stenosis with cervical spondylosis, epidural hematoma, and ossification of the posterior longitudinal ligament. The postoperative outcomes of our cases ranged from partial to complete recovery. While the patients with acute epidural hemorrhage achieved complete recovery after surgery, neurological deficits in the other patients, especially those with severe cervical spinal canal stenosis, persisted despite adequate surgical decompression. The systematic literature review revealed that CDH is the most common non-traumatic surgically treatable cause of BSS, followed by spinal cord herniation and spinal epidural hematoma. Conclusion: Non-traumatic injuries of the spinal cord accompanied by narrowed cervical spinal canal pathologies are prominent surgically treatable causes of BSS. Contrary to the definition made 100 years ago, BSS can occur spontaneously due to underlying pathologies rather than major traumatic injuries.

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