Acute epidural hematoma due to spinal venous angioma: A case report
Background: Spinal epidural cavernous angioma was reported about 4% of all spinal epidural tumors, mostly generating as a primary lesion in the vertebral bone. Spinal epidural hematoma (SEDH) due to angioma without primary origin was very rare, which reported in the English literatures was only 10 c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221475191730169X |
| _version_ | 1811295857557897216 |
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| author | Shiro Chitoku, M.D. Iwao Nishiura, M.D. Miyuki Fukuda, M.D., PhD Shigeru Amano, M.D., PhD |
| author_facet | Shiro Chitoku, M.D. Iwao Nishiura, M.D. Miyuki Fukuda, M.D., PhD Shigeru Amano, M.D., PhD |
| author_sort | Shiro Chitoku, M.D. |
| collection | DOAJ |
| description | Background: Spinal epidural cavernous angioma was reported about 4% of all spinal epidural tumors, mostly generating as a primary lesion in the vertebral bone. Spinal epidural hematoma (SEDH) due to angioma without primary origin was very rare, which reported in the English literatures was only 10 cases including our case. The main symptoms were numbness and pains and motor weakness owing to the acute compression signs of cord and roots. Emergency surgical treatment was required for the good surgical results.We present a rare case of cervical acute epidural hematoma due to ruptured venous angioma. Case presentation: A 78-year-old man, who suffered from sudden severe right suboccipitalgia., and sent to our hospital. He also noticed progressive numbness and motor weakness over his bilateral upper and lower extremities after the onset. Cervical CT and MRI showed acute intracanal hematoma over the right side of the cervical spine at C2 to C6. Emergency operation was performed 13h after the onset. His sensory and motor symptoms were disappeared quickly after the operation. Pathological examination revealed spinal epidural hematoma due to venous angioma. Conclusion: This case presented with acute progressive deterioration of paresis and sensory disturbance, and required emergency operation. Early diagnosis and emergency surgical treatment are essential for the therapy of acute spinal epidural hematoma due to venous angioma. Keywords: Acute spinal epidural hematoma, Venous angioma, Surgical treatment |
| first_indexed | 2024-04-13T05:38:49Z |
| format | Article |
| id | doaj.art-d229e0e6c7f54d18b0dc1045de392547 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-13T05:38:49Z |
| publishDate | 2018-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-d229e0e6c7f54d18b0dc1045de3925472022-12-22T03:00:10ZengElsevierInterdisciplinary Neurosurgery2214-75192018-06-01121519Acute epidural hematoma due to spinal venous angioma: A case reportShiro Chitoku, M.D.0Iwao Nishiura, M.D.1Miyuki Fukuda, M.D., PhD2Shigeru Amano, M.D., PhD3Center of the Spinal Surgery, Nipponbashi Hospital, Osaka-shi, Osaka, Japan; Corresponding author at: Division of Neurosurgery, Shiraniwa Hospital, 6-1-10 Shiraniwadai, Ikomaa-shi, Nara 6300136, Japan.Center of the Spinal Surgery, Nipponbashi Hospital, Osaka-shi, Osaka, JapanDepartment of Neurosurgery, Kyoto University, Kyoto-shi, Kyoto, JapanSakuragaoka Pathological Diagnostic Clinic, Kusatu-shi, Shiga, JapanBackground: Spinal epidural cavernous angioma was reported about 4% of all spinal epidural tumors, mostly generating as a primary lesion in the vertebral bone. Spinal epidural hematoma (SEDH) due to angioma without primary origin was very rare, which reported in the English literatures was only 10 cases including our case. The main symptoms were numbness and pains and motor weakness owing to the acute compression signs of cord and roots. Emergency surgical treatment was required for the good surgical results.We present a rare case of cervical acute epidural hematoma due to ruptured venous angioma. Case presentation: A 78-year-old man, who suffered from sudden severe right suboccipitalgia., and sent to our hospital. He also noticed progressive numbness and motor weakness over his bilateral upper and lower extremities after the onset. Cervical CT and MRI showed acute intracanal hematoma over the right side of the cervical spine at C2 to C6. Emergency operation was performed 13h after the onset. His sensory and motor symptoms were disappeared quickly after the operation. Pathological examination revealed spinal epidural hematoma due to venous angioma. Conclusion: This case presented with acute progressive deterioration of paresis and sensory disturbance, and required emergency operation. Early diagnosis and emergency surgical treatment are essential for the therapy of acute spinal epidural hematoma due to venous angioma. Keywords: Acute spinal epidural hematoma, Venous angioma, Surgical treatmenthttp://www.sciencedirect.com/science/article/pii/S221475191730169X |
| spellingShingle | Shiro Chitoku, M.D. Iwao Nishiura, M.D. Miyuki Fukuda, M.D., PhD Shigeru Amano, M.D., PhD Acute epidural hematoma due to spinal venous angioma: A case report Interdisciplinary Neurosurgery |
| title | Acute epidural hematoma due to spinal venous angioma: A case report |
| title_full | Acute epidural hematoma due to spinal venous angioma: A case report |
| title_fullStr | Acute epidural hematoma due to spinal venous angioma: A case report |
| title_full_unstemmed | Acute epidural hematoma due to spinal venous angioma: A case report |
| title_short | Acute epidural hematoma due to spinal venous angioma: A case report |
| title_sort | acute epidural hematoma due to spinal venous angioma a case report |
| url | http://www.sciencedirect.com/science/article/pii/S221475191730169X |
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