scholarly journals Posttraumatic Late-onset Extradural Hematoma in Dorsal Spine: A Rare Presentation

2017 ◽  
Vol 51 (1) ◽  
pp. 30-32
Author(s):  
Rahul Peswani ◽  
Adarsh Trivedi
Keyword(s):  
Epidural Hematoma ◽  
Late Onset ◽  
Rare Condition ◽  
Dorsal Spine ◽  
Neurological Recovery ◽  
Spinal Epidural Hematoma ◽  
Extradural Hematoma ◽  
Rare Presentation ◽  
Epidural Catheterization ◽  
Spinal Epidural

ABSTRACT Spinal epidural hematoma is a rare condition, which may be due to trauma, coagulopathy, surgery, or epidural catheterization. Its incidence is estimated at 0.1/100,000/year. We report a case of late-onset extradural hematoma due to trauma causing compression, and was surgically evacuated followed by immediate neurological recovery of patient. How to cite this article Peswani R, Trivedi A. Posttraumatic Late-onset Extradural Hematoma in Dorsal Spine: A Rare Presentation. J Postgrad Med Edu Res 2017;51(1):30-32.

scholarly journals Epidural hematoma treated by aspiration after transforaminal epidural steroid injection - A case report -

2021 ◽  
Author(s):  
Go Eun Kim ◽  
Sung Jun Hong ◽  
Sang Soo Kang ◽  
Ho Joon Ki ◽  
Jae Hyun Park
Keyword(s):  
Epidural Hematoma ◽  
Steroid Injection ◽  
Case Reports ◽  
Rare Condition ◽  
Epidural Steroid Injection ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Transforaminal Epidural Steroid Injection ◽  
Epidural Steroid ◽  
Spinal Epidural

Background: Spinal epidural hematoma is rare condition that can rapidly develop into severe neurologic deficits. The pathophysiology of this development remains unclear. There are several case reports of emergency hematoma evacuations after epidural steroid injection. Case: We report on two patients who developed acute, large amounts of epidural hematoma without neurological deficits after transforaminal epidural steroid injection. After fluoroscopy guided aspiration for epidural hematoma was performed, neurological defects did not progress and the hematoma was shown to be absorbed on magnetic resonance imaging. Conclusions: These reports are believed to be the first of treating epidural hematoma occurring after transforaminal epidural steroid injection through non-surgical hematoma aspiration. If large amounts of epidural hematoma are not causing neurological issues, it can be aspirated until it is absorbed.

Cervical spontaneous spinal epidural hematoma with internal jugular vein thrombosis

2011 ◽  
Vol 15 (2) ◽  
pp. 187-189 ◽  
Author(s):  
Atsushi Ishida ◽  
Seigo Matsuo ◽  
Kaku Niimura ◽  
Haruko Yoshimoto ◽  
Hideki Shiramizu ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Epidural Hematoma ◽  
Jugular Vein ◽  
Rare Condition ◽  
Spinal Epidural Hematoma ◽  
Jugular Vein Thrombosis ◽  
Spontaneous Spinal Epidural Hematoma ◽  
Vein Thrombosis ◽  
Spinal Epidural ◽  
Time Of Admission

Spontaneous spinal epidural hematoma (SSEH) is a rare condition, and its etiology remains unclear. Spinal venous wall instability due to intravenous pressure changes and the resultant venous rupture seem to be the underlying pathophysiological mechanisms. Here, the authors report a case of posterior SSEH at the C3–5 level causing mild left hemiparesis in a previously healthy 56-year-old woman. Angiography performed at the time of admission showed left internal jugular vein (IJV) thrombotic occlusion and dilation of the surrounding venous plexus, strongly suggesting that these pathologies caused the SSEH. Furthermore, immediate MR imaging suggested severely impaired blood flow in the left IJV. The hematoma soon resolved after spontaneous IJV thrombolysis. The authors' radiological observations imply that idiopathic IJV thrombosis may cause cervical SSEH.

scholarly journals Spinal epidural hematoma in a patient on chronic anticoagulation therapy performing self-neck manipulation: a case report

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Jesse Cooper ◽  
Patrick Battaglia ◽  
Todd Reiter
Keyword(s):  
Cervical Spine ◽  
Epidural Hematoma ◽  
Anticoagulation Therapy ◽  
Rare Condition ◽  
Inpatient Rehabilitation ◽  
Spinal Epidural Hematoma ◽  
Case Presentation ◽  
First Case ◽  
Spinal Epidural ◽  
Neck Manipulation

Abstract Background Spinal epidural hematoma is a rare condition usually secondary to trauma and coagulopathy. To the best of our knowledge, we present the first case of a patient with an iatrogenic hypercoaguable state performing self-neck manipulation, which resulted in a spinal epidural hematoma and subsequent quadriparesis. Case presentation A 63-year-old man presented to the emergency department with worsening interscapular pain radiating to his neck 1 day after performing self-manipulation of his cervical spine. He was found to be coagulopathic upon admission, secondary to chronic warfarin therapy for the management of atrial fibrillation. Approximately 48 h after the manipulation, the patient became acutely quadriparetic and hypotensive. Urgent magnetic resonance imaging revealed a multilevel spinal epidural hematoma from the lower cervical to thoracic spine. Conclusions Partial C7, complete T1 and T2, and partial T3 bilateral laminectomy was performed for evacuation of the spinal epidural hematoma. Following a 2-week course of acute inpatient rehabilitation, the patient returned to his baseline functional status. This case highlights the risks of self-manipulation of the neck and potentially other activities that significantly stretch or apply torque to the cervical spine. It also presents a clinical scenario in which practitioners of spinal manipulation therapy should be aware of patients undergoing anticoagulation therapy.

Surgical management of spinal epidural hematoma: relationship between surgical timing and neurological outcome

1995 ◽  
Vol 83 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Michael T. Lawton ◽  
Randall W. Porter ◽  
Joseph E. Heiserman ◽  
Ronald Jacobowitz ◽  
Volker K. H. Sonntag ◽  
...  
Keyword(s):  
Epidural Hematoma ◽  
Neurological Recovery ◽  
Neurological Deficits ◽  
Sensory Loss ◽  
Spinal Epidural Hematoma ◽  
Initial Symptom ◽  
Average Interval ◽  
Epidural Catheters ◽  
Spinal Epidural ◽  
Frankel Grade

✓ Thirty patients were treated surgically for spinal epidural hematoma (SEH). Twelve of these cases resulted from spinal surgery, seven from epidural catheters, four from vascular lesions, three from anticoagulation medications, two from trauma, and two from spontaneous causes. Pain was the predominant initial symptom, and all patients developed neurological deficits. Eight patients had complete motor and sensory loss (Frankel Grade A); six had complete motor loss but some sensation preserved (Frankel Grade B); and 16 had incomplete loss of motor function (10 patients Frankel Grade C and six patients Frankel Grade D). The average interval from onset of initial symptom to maximum neurological deficit was 13 hours, and the average interval from onset of symptom to surgery was 23 hours. Surgical evacuation of the hematoma was performed in all patients; 26 of these improved; four remained unchanged, and no patients worsened (mean follow up 11 months). Complete recovery (Frankel Grade E) was observed in 43% of the patients and functional recovery (Frankel Grades D or E) was observed in 87%. One postoperative death occurred from a pulmonary embolus (surgical mortality 3%). Preoperative neurological status correlated with outcome; 83% of Frankel Grade D patients recovered completely compared to 25% of Frankel Grade A patients. The rapidity of surgical intervention also correlated with outcome; greater neurological recovery occurred as the interval from symptom onset to surgery decreased. Patients taken to surgery within 12 hours had better neurological outcomes than patients with identical preoperative Frankel grades whose surgery was delayed beyond 12 hours. This large series of SEH demonstrates that rapid diagnosis and emergency surgical treatment maximize neurological recovery. However, patients with complete neurological lesions or long-standing compression can improve substantially with surgery.

scholarly journals “Spontaneous Spinal Epidural Hematoma: A Rare Presentation”

2017 ◽  
Vol 16 (03) ◽  
pp. 38-39
Author(s):  
Dr. Bharat Veer Manchanda ◽  
Dr. Umesh Verma ◽  
Dr. Saloni Mehra ◽  
Dr. Girish Dubey ◽  
Dr. Shirobhi Sharma ◽  
...  
Keyword(s):  
Epidural Hematoma ◽  
Spinal Epidural Hematoma ◽  
Rare Presentation ◽  
Spontaneous Spinal Epidural Hematoma ◽  
Spinal Epidural

scholarly journals Spontaneous lumbo-sacral epidural hematoma presenting as Cauda Equina syndrome: a case report

2021 ◽  
Vol 9 (8) ◽  
pp. 2475
Author(s):  
Mohammad Sarwar ◽  
Laxminarayan Tripathy ◽  
Kalyanbrata Bhattacharyya
Keyword(s):  
Case Report ◽  
Cauda Equina Syndrome ◽  
Epidural Hematoma ◽  
Cauda Equina ◽  
Rare Condition ◽  
Surgical Decompression ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Recommended Treatment ◽  
Spinal Epidural

Spinal epidural hematoma (SEH) is a rare condition and it accounts for less than 1% of all spinal canal space occupying conditions. Spontaneous SEH most commonly occurs in the cervical and thoracic regions. They present with neck or back pain with radiculopathy and/ or myelopathy. Early surgical decompression is the recommended treatment in the presence of progressive neurological deficits. Spontaneous SEH (SSEH) presenting as Cauda Equina syndrome (CES) are rarely reported in the literature. We present a case of SSEH presenting late with CES. Due to delay in presentation and multiple co-morbidities, patient was treated conservatively.

scholarly journals Posterior reversible encephalopathy syndrome and spinal extradural hematoma in an elderly patient

2021 ◽  
Author(s):  
Kouhei Onishi ◽  
Susumu Uchida ◽  
Hirotaka Fudaba ◽  
Yukari Kawasaki ◽  
Masaki Morishige ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Epidural Hematoma ◽  
Spinal Epidural Hematoma ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Spinal Disease ◽  
Extradural Hematoma ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy ◽  
Spinal Epidural

Posterior reversible encephalopathy syndrome (PRES) is identified on magnetic resonance imaging by posterior predominant white and gray matter lesions. PRES secondary to spinal disease is very rare. We report a case of clinical and imaging findings about PRES associated with spinal epidural hematoma.

Sign in / Sign up

Export Citation Format

Share Document