Retroclival Epidural Hematoma in a Child Affected by Whiplash Cervical Injury: A Typical Case of a Rare Condition

2011 ◽  
Vol 47 (4) ◽  
pp. 288-291 ◽  
Author(s):  
Rodrigo Becco de Souza ◽  
Guilherme Brasileiro de Aguiar ◽  
Marcelo Eduardo Sette dos Santos ◽  
Marcus André Acioly
Keyword(s):  
Epidural Hematoma ◽  
Rare Condition ◽  
Typical Case ◽  
Cervical Injury

scholarly journals Posttraumatic Late-onset Extradural Hematoma in Dorsal Spine: A Rare Presentation

2017 ◽  
Vol 51 (1) ◽  
pp. 30-32
Author(s):  
Rahul Peswani ◽  
Adarsh Trivedi
Keyword(s):  
Epidural Hematoma ◽  
Late Onset ◽  
Rare Condition ◽  
Dorsal Spine ◽  
Neurological Recovery ◽  
Spinal Epidural Hematoma ◽  
Extradural Hematoma ◽  
Rare Presentation ◽  
Epidural Catheterization ◽  
Spinal Epidural

ABSTRACT Spinal epidural hematoma is a rare condition, which may be due to trauma, coagulopathy, surgery, or epidural catheterization. Its incidence is estimated at 0.1/100,000/year. We report a case of late-onset extradural hematoma due to trauma causing compression, and was surgically evacuated followed by immediate neurological recovery of patient. How to cite this article Peswani R, Trivedi A. Posttraumatic Late-onset Extradural Hematoma in Dorsal Spine: A Rare Presentation. J Postgrad Med Edu Res 2017;51(1):30-32.

scholarly journals Epidural hematoma treated by aspiration after transforaminal epidural steroid injection - A case report -

2021 ◽  
Author(s):  
Go Eun Kim ◽  
Sung Jun Hong ◽  
Sang Soo Kang ◽  
Ho Joon Ki ◽  
Jae Hyun Park
Keyword(s):  
Epidural Hematoma ◽  
Steroid Injection ◽  
Case Reports ◽  
Rare Condition ◽  
Epidural Steroid Injection ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Transforaminal Epidural Steroid Injection ◽  
Epidural Steroid ◽  
Spinal Epidural

Background: Spinal epidural hematoma is rare condition that can rapidly develop into severe neurologic deficits. The pathophysiology of this development remains unclear. There are several case reports of emergency hematoma evacuations after epidural steroid injection. Case: We report on two patients who developed acute, large amounts of epidural hematoma without neurological deficits after transforaminal epidural steroid injection. After fluoroscopy guided aspiration for epidural hematoma was performed, neurological defects did not progress and the hematoma was shown to be absorbed on magnetic resonance imaging. Conclusions: These reports are believed to be the first of treating epidural hematoma occurring after transforaminal epidural steroid injection through non-surgical hematoma aspiration. If large amounts of epidural hematoma are not causing neurological issues, it can be aspirated until it is absorbed.

scholarly journals Spontaneous Cervical Epidural Hematoma with Hemiparesis Mimicking Cerebral Stroke

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Mehmet Tiryaki ◽  
Recep Basaran ◽  
Serdar Onur Aydin ◽  
Mustafa Efendioglu ◽  
Ece Balkuv ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Epidural Hematoma ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Cerebral Stroke ◽  
Normal Limits ◽  
Cranial Mri ◽  
Spinal Mri ◽  
The Right ◽  
Loss Of Strength

Aim.Spontaneous cervical epidural hematoma (SCEH) is defined as an epidural hematoma that does not have an etiological explanation. The most common site for SCEH is cervicothoracic area. Early diagnosis and treatment are important for prognosis and good results. In this paper, we aimed to present a case who complains of sudden weakness on right extremities imitating cerebral stroke and that neuroimaging reveals spontaneous cervical epidural hematoma.Case.A 72-year-old woman was admitted to our hospital with acute neck pain and loss of strength on right extremities. On neurological examination, the patient had right hemiparesis. PT, aPTT, and INR results were 50.5, 42.8, and 4.8, respectively. Cranial MRI was in normal limits. Spinal MRI revealed a lesion that extends from C4 to C7 located on the right side and compatible with epidural hematoma. The patient was operated after normalization of INR values.Conclusion.Even though SCEH is a rare condition, it can cause severe morbidity and mortality. Early diagnosis and treatment are quiet important for prognosis. SCEH can easily be mistaken for stroke as with other pathologies and this diagnosis should come to mind especially in patients who have diathesis of bleeding.

scholarly journals Isolated Nasal Amyloidosis: A Case Report

Medicina ◽  
2013 ◽  
Vol 49 (11) ◽  
pp. 78 ◽  
Author(s):  
Darius Rauba ◽  
Eugenijus Lesinskas ◽  
Mindaugas Petrulionis ◽  
Donata Sukyte ◽  
Nomeda Valeviciene ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Rare Condition ◽  
Symptomatic Improvement ◽  
Typical Case ◽  
Primary Amyloidosis ◽  
Resonance Imaging ◽  
Abnormal Protein ◽  
Extended Surgery ◽  
Amyloid Deposits

Amyloidosis is a rare condition characterized by the deposition of abnormal protein filaments into the extracellular tissue. Only 16 cases of true primary idiopathic amyloidosis local- ized in the nose and the paranasal sinuses have previously been reported. We present a case of local- ized amyloidosis involving the sinonasal cavities and the nose in a 53-year-old woman. Our patient was operated on as a typical case of chronic rhinosinusitis with polyps, but after 2 years, the patient came back with severe symptoms of nasal obstruction and pain in the frontal and maxillary regions with proptosis of both eyes. Magnetic resonance imaging revealed sinonasal-intraorbital masses. Primary amyloidosis (AL type) was confirmed by tissue biopsy. A systemic workup for additional amyloid deposits revealed no evidence of other diseases. Extended surgery produced a symptomatic improvement.

Cervical spontaneous spinal epidural hematoma with internal jugular vein thrombosis

2011 ◽  
Vol 15 (2) ◽  
pp. 187-189 ◽  
Author(s):  
Atsushi Ishida ◽  
Seigo Matsuo ◽  
Kaku Niimura ◽  
Haruko Yoshimoto ◽  
Hideki Shiramizu ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Epidural Hematoma ◽  
Jugular Vein ◽  
Rare Condition ◽  
Spinal Epidural Hematoma ◽  
Jugular Vein Thrombosis ◽  
Spontaneous Spinal Epidural Hematoma ◽  
Vein Thrombosis ◽  
Spinal Epidural ◽  
Time Of Admission

Spontaneous spinal epidural hematoma (SSEH) is a rare condition, and its etiology remains unclear. Spinal venous wall instability due to intravenous pressure changes and the resultant venous rupture seem to be the underlying pathophysiological mechanisms. Here, the authors report a case of posterior SSEH at the C3–5 level causing mild left hemiparesis in a previously healthy 56-year-old woman. Angiography performed at the time of admission showed left internal jugular vein (IJV) thrombotic occlusion and dilation of the surrounding venous plexus, strongly suggesting that these pathologies caused the SSEH. Furthermore, immediate MR imaging suggested severely impaired blood flow in the left IJV. The hematoma soon resolved after spontaneous IJV thrombolysis. The authors' radiological observations imply that idiopathic IJV thrombosis may cause cervical SSEH.

scholarly journals ATYPICAL EVOLUTION AFTER DENGUE: EXTRADURAL HEMATOMA OF VERTEBRAL CANAL LEVEL L4-L5

2020 ◽  
Vol 19 (1) ◽  
pp. 71-74
Author(s):  
KAROLINE ALBERTI ◽  
GUSTAVO MEURER ◽  
EDUARDO VALIAS SCHMITT ◽  
ODIRLEI ANTONIO MAGNAGNAGNO
Keyword(s):  
Low Back Pain ◽  
Case Report ◽  
Medical Records ◽  
Epidural Hematoma ◽  
Rare Condition ◽  
Low Back ◽  
Extradural Hematoma ◽  
Level Of Evidence ◽  
Before And After ◽  
Report Data

ABSTRACT The objective of this paper is to report a case of atypical evolution after a classic case of dengue confirmed by serology, in which the formation of an epidural hematoma with low back pain and radiculopathy was observed. The article is a qualitative and descriptive case report. Data were collected from the medical records of the hospital where the patient was treated. In conclusion, the diagnostic correlation of dengue with this rare condition was possible due to radiological comparisons before and after the formation of the extradural hematoma. Level of evidence V; Expert Opinion.

scholarly journals Spinal epidural hematoma in a patient on chronic anticoagulation therapy performing self-neck manipulation: a case report

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Jesse Cooper ◽  
Patrick Battaglia ◽  
Todd Reiter
Keyword(s):  
Cervical Spine ◽  
Epidural Hematoma ◽  
Anticoagulation Therapy ◽  
Rare Condition ◽  
Inpatient Rehabilitation ◽  
Spinal Epidural Hematoma ◽  
Case Presentation ◽  
First Case ◽  
Spinal Epidural ◽  
Neck Manipulation

Abstract Background Spinal epidural hematoma is a rare condition usually secondary to trauma and coagulopathy. To the best of our knowledge, we present the first case of a patient with an iatrogenic hypercoaguable state performing self-neck manipulation, which resulted in a spinal epidural hematoma and subsequent quadriparesis. Case presentation A 63-year-old man presented to the emergency department with worsening interscapular pain radiating to his neck 1 day after performing self-manipulation of his cervical spine. He was found to be coagulopathic upon admission, secondary to chronic warfarin therapy for the management of atrial fibrillation. Approximately 48 h after the manipulation, the patient became acutely quadriparetic and hypotensive. Urgent magnetic resonance imaging revealed a multilevel spinal epidural hematoma from the lower cervical to thoracic spine. Conclusions Partial C7, complete T1 and T2, and partial T3 bilateral laminectomy was performed for evacuation of the spinal epidural hematoma. Following a 2-week course of acute inpatient rehabilitation, the patient returned to his baseline functional status. This case highlights the risks of self-manipulation of the neck and potentially other activities that significantly stretch or apply torque to the cervical spine. It also presents a clinical scenario in which practitioners of spinal manipulation therapy should be aware of patients undergoing anticoagulation therapy.

scholarly journals Spontaneous lumbo-sacral epidural hematoma presenting as Cauda Equina syndrome: a case report

2021 ◽  
Vol 9 (8) ◽  
pp. 2475
Author(s):  
Mohammad Sarwar ◽  
Laxminarayan Tripathy ◽  
Kalyanbrata Bhattacharyya
Keyword(s):  
Case Report ◽  
Cauda Equina Syndrome ◽  
Epidural Hematoma ◽  
Cauda Equina ◽  
Rare Condition ◽  
Surgical Decompression ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Recommended Treatment ◽  
Spinal Epidural

Spinal epidural hematoma (SEH) is a rare condition and it accounts for less than 1% of all spinal canal space occupying conditions. Spontaneous SEH most commonly occurs in the cervical and thoracic regions. They present with neck or back pain with radiculopathy and/ or myelopathy. Early surgical decompression is the recommended treatment in the presence of progressive neurological deficits. Spontaneous SEH (SSEH) presenting as Cauda Equina syndrome (CES) are rarely reported in the literature. We present a case of SSEH presenting late with CES. Due to delay in presentation and multiple co-morbidities, patient was treated conservatively.

Severe Antithrombin III Deficiency in an Infant Associated with Multiple Arterial and Venous Thromboses

1976 ◽  
Vol 36 (03) ◽  
pp. 495-502 ◽  
Author(s):  
Geoffrey Mendelsohn ◽  
Edward D. Gomperts ◽  
Dennis Gurwitz
Keyword(s):  
Antithrombin Iii ◽  
Adult Life ◽  
Rare Condition ◽  
Male Infant ◽  
Liver Cells ◽  
Liver Pathology ◽  
Fixed Tissue ◽  
Formalin Fixed Tissue ◽  
First Case ◽  
At Iii

SummaryInherited antithrombin III (AT-II, heparin cofactor) deficiency is a rare condition, presenting with thrombotic disease in adult life. This paper reports an 8 months old South African Black male infant with multiple large vessel venous and arterial thromboses, and E. coli septicaemia. This was associated with an extremely low plasma AT-II level. Micronodular cirrhosis and intracytoplasmic hyaline globules in the liver cells were present. These globules were eosinophilic, and PAS-positive after diastase. They measured approximately 5 μ to 30 μ in diameter, occurred singly in the liver cells and were located mainly in the periportal areas. The histological findings in the liver are similar to those observed in α1-antitrypsin (AAT) deficiency in which the intracytoplasmic globules represent accumulation of altered AAT. Immunochemical studies carried out on formalin fixed tissue failed to detect cross reaction material with anti-α1 antitrypsin or anti-AT III antiserum. This is the first case report of AT-III deficiency presenting in infancy. It is also the first case associated with distinctive liver pathology.The available data presented are insufficient to distinguish between an inborn defect and acquired causes of the severely depressed AT-III plasma level and the distinctive liver pathology.

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