Transient paraparesis as a consequence of spontaneous spinal epidural haematoma

Transient paraparesis as a consequence of spontaneous spinal epidural haematoma.

A 78-year-old man presented to the accident and emergency department following sudden onset of back pain, with attendant loss of power and sensation in the lower half of his body and urinary retention. Onset occurred while he was seated in a chair and he fell as he tried to get up. Neurological examination revealed symmetrical lower motor weakness (MRC grade 4/5) in both lower limbs with downgo...

Spontaneous spinal epidural haematoma with spontaneous resolution.

Spontaneous spinal epidural haematoma is of unknown aetiology, but it has been associated with hypertension. Treatment is surgical decompression but three cases of spontaneous recovery have been reported. We report the fourth such recovery in a 68 year old hypertensive woman.

Spontaneous spinal epidural haematoma: a cautionary tale.

Less than two hundred cases of spontaneous spinal epidural haematoma (SSEH) have been reported in the literature and theories as to its genesis are diverse. It is a serious condition, especially if there is a delay in diagnosis, as early treatment confers marked prognostic advantage. We present a case report of a 68-year-old male who was diagnosed as having a spinal epidural haematoma, followed...

Spontaneous resolution of cervical spinal epidural haematoma.

A patient with a spontaneous cervical spinal epidural haematoma is described. Surgical decompression is generally regarded as mandatory. There was complete clinical and radiological resolution with non-operative treatment. This is the fifth recorded case of spontaneous resolution of spinal epidural haematoma. In selected patients with incomplete and non-progressing deficit, conservative managem...

Spinal or Epidural Haematoma