Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
نویسندگان
چکیده
Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered as an indication for emergent surgical decompression. We aimed to investigate a patient with a SSEH that completely resolved clinically and radiographically, without surgical treatment. The patient presented three days after the sudden onset of back pain, numbness, and weakness. Magnetic Resonance Imaging (MRI) revealed a posterior thoracolumbar epidural hematoma extending from the level of T10 to L2 with significant cord compression. Decompression was recommended but he refused surgery and was managed conservatively. One month later, weakness totally recovered and hematoma was absent on MRI.
منابع مشابه
Sudden back pain as clinical presentation of spontaneous spinal epidural hematoma.
An 89-year-old woman admitted to the Emergency Care Department with reported back pain nine days earlier that started suddenly when sitting. This subsequently evolved into progressive paraparesis (Frankel D). An MRI of the lumbosacral spine revealed an extensive lumbar epidural hematoma (Figure). The patient underwent decompressive laminectomy of T12-L1. Spontaneous epidural hematoma is a rare ...
متن کاملSpontaneous Spinal Epidural Hematoma in a Patient With a Prosthetic Valve
Spontaneous Spinal Epidural Hematoma (SSEH) is a rare spinal condition. Early surgical intervention is generally indicated to prevent serious permanent neurological deficits. We encountered a case of spontaneous spinal epidural hematomas associated with motor weakness that was treated successfully by surgical evacuation.
متن کاملSpontaneous Resolution of a Traumatic Lumbar Epidural Hematoma with Transient Paraparesis
To clinically and radiologically report a traumatic spinal epidural hematoma (SEH) that completely resolved, without surgical treatment. A 17-year-old woman presented with back pain, lower motor weakness, and sensory change after trauma to the lower back area. Neurologic examination revealed paraparesis (grade 3/5) and radiating pain in both legs at the L5 dermatome. Magnetic resonance imaging ...
متن کاملSpontaneous Complete Resolution of Spinal Epidural Hematoma Localized in Thoracic Region: Case Report
Spontaneously occurring spinal epidural hematoma (SEH) is a relatively rare disease. It is frequently observed in cervicothoracic and thoracolumbar regions. They require emergency surgical intervention as they may lead to serious and permanent neurological damage. On the other hand, rare cases with mild neurological findings, which resolve without surgical intervention have also been reported i...
متن کاملRapid spontaneous resolution of epidural hematoma: a case report.
Incidence of acute epidural hematoma is estimated as 1.5% of patients treated for head trauma. The condition can be fatal, and urgent surgical evacuation is recommended. Spontaneous resolution may occur in some cases. Herein, rapid spontaneous resolution of an epidural hematoma is reported and possible mechanisms are discussed.
متن کامل