Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome
Spinal epidural hematoma (SEH) is a rare disease and may lead to spinal cord compression. It could be caused by trauma, including iatrogenic procedures such as spinal surgery or spinal anesthesia or by spontaneous events related to coagulopathy or arteriovenous malformation. Once SEH is suspected cl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2021-01-01
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| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=3;spage=103;epage=106;aulast=Wu |
| _version_ | 1797704622588035072 |
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| author | Tsung-Mu Wu Tien-Yu Chiang Po-Chang Huang Kin-Weng Wong |
| author_facet | Tsung-Mu Wu Tien-Yu Chiang Po-Chang Huang Kin-Weng Wong |
| author_sort | Tsung-Mu Wu |
| collection | DOAJ |
| description | Spinal epidural hematoma (SEH) is a rare disease and may lead to spinal cord compression. It could be caused by trauma, including iatrogenic procedures such as spinal surgery or spinal anesthesia or by spontaneous events related to coagulopathy or arteriovenous malformation. Once SEH is suspected clinically and confirmed by image modalities, it should be emergently decompressed by surgical intervention. Prognosis depends on the rate of symptoms development, interval from symptom onset to surgery, level of spinal involvement, and degree of neurological deficits. Here, we report the case of a 79-year-old female who sustained a fall months before admission, presented with a 3-day history of back and bilateral lower limbs weakness. Radiography and magnetic resonance imaging demonstrated epidural hematomas at the level of T12 to L2 without associated vertebral fracture. An urgent decompressive laminectomy with blood clot removal was performed immediately. Postoperatively, her neurologic deficits improved significantly except for residual numbness. |
| first_indexed | 2024-03-12T05:23:13Z |
| format | Article |
| id | doaj.art-d019970175754002931f76b4b0ff894b |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T05:23:13Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-d019970175754002931f76b4b0ff894b2023-09-03T07:35:11ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2021-01-0154310310610.4103/fjs.fjs_170_20Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndromeTsung-Mu WuTien-Yu ChiangPo-Chang HuangKin-Weng WongSpinal epidural hematoma (SEH) is a rare disease and may lead to spinal cord compression. It could be caused by trauma, including iatrogenic procedures such as spinal surgery or spinal anesthesia or by spontaneous events related to coagulopathy or arteriovenous malformation. Once SEH is suspected clinically and confirmed by image modalities, it should be emergently decompressed by surgical intervention. Prognosis depends on the rate of symptoms development, interval from symptom onset to surgery, level of spinal involvement, and degree of neurological deficits. Here, we report the case of a 79-year-old female who sustained a fall months before admission, presented with a 3-day history of back and bilateral lower limbs weakness. Radiography and magnetic resonance imaging demonstrated epidural hematomas at the level of T12 to L2 without associated vertebral fracture. An urgent decompressive laminectomy with blood clot removal was performed immediately. Postoperatively, her neurologic deficits improved significantly except for residual numbness.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=3;spage=103;epage=106;aulast=Wucauda equina syndromelaminectomyspinal epidural hematomaspinal fracture |
| spellingShingle | Tsung-Mu Wu Tien-Yu Chiang Po-Chang Huang Kin-Weng Wong Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome Formosan Journal of Surgery cauda equina syndrome laminectomy spinal epidural hematoma spinal fracture |
| title | Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome |
| title_full | Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome |
| title_fullStr | Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome |
| title_full_unstemmed | Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome |
| title_short | Lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome |
| title_sort | lumbar spinal epidural hematoma without vertebral fracture causing cauda equina syndrome |
| topic | cauda equina syndrome laminectomy spinal epidural hematoma spinal fracture |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=3;spage=103;epage=106;aulast=Wu |
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