An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature
Spontaneous spinal epidural hematoma is a rare predominantly idiopathic entity which can prompt acute neurologic symptoms and if not managed in time can lead to devastating outcomes. High index of suspicion is required for early diagnosis on MRI for a prompt management of patients showing sudden neu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-08-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321003393 |
| _version_ | 1818739356753461248 |
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| author | Darshan Gandhi, MD Anisa Chowdhary, MD Asim Kichloo, MD Jagmeet Singh, MD Love Patel, MD Jayun Shah, MS, MCh (Neurosurgery) |
| author_facet | Darshan Gandhi, MD Anisa Chowdhary, MD Asim Kichloo, MD Jagmeet Singh, MD Love Patel, MD Jayun Shah, MS, MCh (Neurosurgery) |
| author_sort | Darshan Gandhi, MD |
| collection | DOAJ |
| description | Spontaneous spinal epidural hematoma is a rare predominantly idiopathic entity which can prompt acute neurologic symptoms and if not managed in time can lead to devastating outcomes. High index of suspicion is required for early diagnosis on MRI for a prompt management of patients showing sudden neurologic deficits. Our patient was 42-year-old female who presented with sudden onset of numbness followed by weakness in both lower limbs and urinary retention without any comorbidity or any medication. MRI whole spine done within 14 hours of symptom onset showed ventral epidural hematoma without any vascular malformation. Immediate decompressive laminectomy with evacuation of hematoma improved power in both lower limbs with regaining bowel and bladder function. The key here is timely surgical decompression of the hematoma for a favorable neurosurgical outcome. Although there is a recent development towards non–surgical treatment, it needs to be well established yet and require such approach on case-to-case basis. |
| first_indexed | 2024-12-18T01:23:32Z |
| format | Article |
| id | doaj.art-223f66c0658c43308641864b2f27a4ed |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-18T01:23:32Z |
| publishDate | 2021-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-223f66c0658c43308641864b2f27a4ed2022-12-21T21:25:46ZengElsevierRadiology Case Reports1930-04332021-08-0116822072210An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literatureDarshan Gandhi, MD0Anisa Chowdhary, MD1Asim Kichloo, MD2Jagmeet Singh, MD3Love Patel, MD4Jayun Shah, MS, MCh (Neurosurgery)5Department of Diagnostic Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Suite 800, Chicago, IL 60611, USA; Corresponding author.Department of Diagnostic Radiology, Institute of Nuclear Medicine and Allied Sciences, New Delhi 110054, IndiaDepartment of Internal Medicine, Central Michigan University School of Medicine, 1280 East Campus Dr, Mt Pleasant, MI 48858, USADepartment of Internal Medicine, Geisinger Commonwealth School of Medicine, 525 Pine St, Scranton, PA 18510, USADepartment of Internal Medicine, Abbott Northwestern Hospital, Allina Health, 800 E 28th Street, Minneapolis, MN 55407, USADepartment of Neurosurgery, Sterling Hospitals, Memnagar, Ahmedabad, Gujarat 380052, IndiaSpontaneous spinal epidural hematoma is a rare predominantly idiopathic entity which can prompt acute neurologic symptoms and if not managed in time can lead to devastating outcomes. High index of suspicion is required for early diagnosis on MRI for a prompt management of patients showing sudden neurologic deficits. Our patient was 42-year-old female who presented with sudden onset of numbness followed by weakness in both lower limbs and urinary retention without any comorbidity or any medication. MRI whole spine done within 14 hours of symptom onset showed ventral epidural hematoma without any vascular malformation. Immediate decompressive laminectomy with evacuation of hematoma improved power in both lower limbs with regaining bowel and bladder function. The key here is timely surgical decompression of the hematoma for a favorable neurosurgical outcome. Although there is a recent development towards non–surgical treatment, it needs to be well established yet and require such approach on case-to-case basis.http://www.sciencedirect.com/science/article/pii/S1930043321003393 |
| spellingShingle | Darshan Gandhi, MD Anisa Chowdhary, MD Asim Kichloo, MD Jagmeet Singh, MD Love Patel, MD Jayun Shah, MS, MCh (Neurosurgery) An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature Radiology Case Reports |
| title | An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature |
| title_full | An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature |
| title_fullStr | An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature |
| title_full_unstemmed | An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature |
| title_short | An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature |
| title_sort | unusual case of ventral spontaneous spinal epidural hematoma case report with review of literature |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321003393 |
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