Surgical management of recurrent spontaneous spinal epidural hematoma with 3 episodes

Spine
Yukihiro YamaoSusumu Miyamoto

Abstract

A case report. We report a case of spontaneous spinal epidural hematoma with 3 bleeding episodes and discuss the surgical management of recurrent spontaneous spinal epidural hematoma. Spontaneous spinal epidural hematoma is a rare condition that causes spinal cord compression and neurological deficits. However, the cause of bleeding remains unclear and recurrent bleeding is very seldom reported. A 39-year-old female patient was referred to Kyoto University hospital with sudden back and right upper extremity pain. She was also treated conservatively at the local hospital 19 and 4 months previously because of same episodes. Magnetic resonance images demonstrated right spinal epidural hematoma at the C6-T1 level. In the first 2 episodes, magnetic resonance images revealed spinal epidural hematomas at exactly the same level. In the third episode, the patient's neurological condition was not worse than it had been in the first 2 episodes, and we initially managed her conservatively. To identify the cause of the hematoma, surgery was performed 15 days after the third onset. Microscopic examination revealed the development of a venous plexus around the old hematoma in the dorsal epidural space. The patient was discharged without any f...Continue Reading

References

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Citations

Mar 24, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Xiao-Bo LuoYuan-Zheng Ma
Jan 31, 2016·Spine·Xiao-bo LuoYuan-zheng Ma
Apr 7, 2017·Spinal Cord Series and Cases·Kyle RaasckPeter Jarzem
Oct 17, 2020·NMC Case Report Journal·Daijiro MorimotoAkio Morita

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