scholarly journals Spontaneous spinal epidural hemorrhage due to polycythemia vera

2021 ◽  
Vol 54 (5) ◽  
pp. 200
Author(s):  
Hsin-Yao Lin ◽  
Tzu-Yao Lin ◽  
Shih-Chao Chien ◽  
Chan-Lin Chu ◽  
Jie-Yang Jhuang ◽  
...  
Keyword(s):  
Polycythemia Vera ◽  
Epidural Hemorrhage ◽  
Spinal Epidural

Abstract P639: Cerebrovascular and Pathological Findings in Police Chokehold Fatalities

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Brian C Richardson ◽  
Johanna Rengifo ◽  
Michael Stanton ◽  
Neftali Nevarez ◽  
Cristina Román ◽  
...  
Keyword(s):  
Law Enforcement Officers ◽  
Single Subject ◽  
Subdural Hemorrhage ◽  
Middle Range ◽  
Autopsy Data ◽  
History Of ◽  
Epidural Hemorrhage ◽  
Artery Disease ◽  
Cervical Spine Fractures ◽  
Spinal Epidural

Introduction: A number of recent well publicized deaths from police chokeholds have focused attention on the use and safety of chokeholds by law enforcement officers (LEO). LEO chokeholds are depicted as a safe non-lethal restraint technique. Use of chokeholds by LEO is purported to be in the middle range of force options when compared to other tools of force available. LEO chokeholds are often likened to judo chokeholds which have a long history of safety and have not directly contributed to the death of a judoka since the sport of Judo was founded in Japan in 1882. Some have posited that chokeholds employed by LEO are especially likely to be safe in young adults, as they are less likely to have underlying cardiovascular diseases. Chokeholds applied by LEO can unfortunately be associated with severe medical and neurological sequelae, including death. Methods: We reviewed autopsy data of 29 deaths associated with LEO chokeholds. Results: Subjects ranged in age from 19 to 58. Reported chokehold duration ranged from 4 seconds to 3 minutes in length. In ten cases, chokeholds were applied multiple times to a single subject. In one case chokeholds were applied five times to a single subject. At autopsy, two subjects were found to have carotid artery intimal tears. Two subjects had epidural hemorrhages. One subject sustained a subdural hemorrhage. One subject was found to have had a subarachnoid hemorrhage. Five subjects had pathology typical of global cerebral anoxia. One subject sustained multiple cervical spine fractures with crush injury to the spinal cord as well as spinal epidural hemorrhage. Two subjects had evidence of hemorrhage involving the cervical anterior longitudinal ligament. Atherosclerotic heart disease was found in five subjects. Two subjects had severe occlusive coronary artery disease. Four of these subjects were between the ages of 28 and 35. Myocardial fibrosis was found in five subjects. Cardiomegaly was found at autopsy in six subjects. Conclusions: LEO chokeholds are not widely considered to constitute deadly force, however our review of autopsy data from 29 deaths caused by chokeholds applied by LEO revealed that they can be associated with death and severe cerebrovascular, and central nervous system sequela in both young and older subjects.

Ultrasound diagnosis of neonatal spinal epidural hemorrhage

1988 ◽  
Vol 16 (6) ◽  
pp. 440-442 ◽  
Author(s):  
M Leadman ◽  
S Seigel ◽  
R Hollenberg ◽  
C Caco
Keyword(s):  
Ultrasound Diagnosis ◽  
Epidural Hemorrhage ◽  
Spinal Epidural

Spontaneous Spinal Epidural Hemorrhage

1974 ◽  
Vol 67 (7) ◽  
pp. 858-861 ◽  
Author(s):  
TIMIR BANERJEE ◽  
JOHN N. MEAGHER
Keyword(s):  
Epidural Hemorrhage ◽  
Spinal Epidural

Acute non-traumatic spinal epidural hemorrhage

1949 ◽  
Vol 78 (3) ◽  
pp. 356-361 ◽  
Author(s):  
Lawrence I. Kaplan ◽  
Peter G. Denker
Keyword(s):  
Epidural Hemorrhage ◽  
Spinal Epidural

Conservative management of an acute spontaneous holocord epidural hemorrhage in a hemophiliac infant

2010 ◽  
Vol 6 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Erin N. Kiehna ◽  
Peter E. Waldron ◽  
John A. Jane
Keyword(s):  
Cauda Equina ◽  
Pediatric Intensive Care ◽  
Spinal Epidural Hematoma ◽  
Coagulation Disorder ◽  
Close Monitoring ◽  
Spontaneous Movement ◽  
Neurological Improvement ◽  
Baseline Status ◽  
Epidural Hemorrhage ◽  
Spinal Epidural

Central nervous system hemorrhages are an uncommon but severe complication of hemophilia, occurring in only 2–8% of children with hemophilia. Less than 10% of these CNS hemorrhages are intraspinal. The authors report on their care of an infant with hemophilia A who presented with irritability, meningismus, and decreased spontaneous movement. These symptoms prompted imaging studies, which revealed a spinal epidural hematoma (SEH) extending from C-1 through the cauda equina. The boy was treated with factor replacement and close monitoring. Repeat radiographic imaging 14 days later demonstrated complete resolution, and the patient had returned to his normal baseline status. A literature review in the modern treatment era revealed 24 cases of SEH in children with hemophilia. Of these 24 cases, 11 underwent laminectomy and 13 received conservative treatment. All conservatively treated patients, 5 of whom had presented with weakness, experienced a full recovery. Of the 11 laminectomy patients, 10 presented with weakness and all but 3 experienced full neurological improvement. These 3 patients were notable for having previously undiagnosed hemophilia. An increased index of suspicion facilitates the essential management features of prompt diagnosis and correction of coagulopathies in children who present with SEHs. The authors apply a multidisciplinary approach involving a pediatric hematologist, neurosurgeon, and pediatric intensive care unit to ensure timely correction of the coagulation disorder, maintenance of adequate factor levels, and close hemodynamic and neurological monitoring. Observation with aggressive correction of coagulopathy is a reasonable treatment choice for hemophilic patients presenting with SEH and a stable neurological examination.

scholarly journals Cauda equina syndrome caused by multiple intraspinal hemorrhage following percutaneous coronary intervention: a case report and a review of the literature

2021 ◽  
Author(s):  
Yong-Kuan Lim ◽  
Pin-Yuan Chen ◽  
Wei-Siang Chen ◽  
Yu-Cheng Kao ◽  
Mei-Mei Lin ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Subdural Hematoma ◽  
Epidural Hematoma ◽  
Dual Antiplatelet Therapy ◽  
Cauda Equina ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Spinal Subdural Hematoma ◽  
Epidural Hemorrhage ◽  
Spinal Epidural

Abstract Background Percutaneous coronary intervention and dual antiplatelet therapy are common management for patients with coronary artery disease. Multiple spontaneous intraspinal hematomas mixed with epidural hematoma and subdural hematoma following regular percutaneous coronary intervention is an extremely rare complication. We describe our experiences to treat the elderly who presented with spontaneous spinal epidural hematoma and subdural hematoma in different spinal locations after percutaneous coronary intervention. Neurological examination and magnetic resonance imaging were followed to assess the treatment outcomes for more than 2.5 years. Case presentation: In this article, we present a 70 years-old male taking dual antiplatelet therapy for 1 year after drug-eluting stents implantation to right coronary artery and left anterior descending artery for non-ST elevation myocardial infarction had a sudden onset of paraplegia then the autonomic dysfunction immediately after another percutaneous coronary intervention. Whole spinal MRI showed mixed spontaneous spinal subdural hematoma and spinal subdural hematoma, included: anterior C5-T3 acute subdural hemorrhage, right lateral T4 to T8 epidural hemorrhage, and L5-S1 intrathecal hematoma. After urgent cauda equina neurolysis and T7-9 laminectomy to evacuate spinal epidural hemorrhage in accordance with the neurological symptoms, the patient regained walking ability immediately. The urination and defecation function recovered then. The surgical results maintained for at less 2.5 years, even after another percutaneous coronary intervention 1 year later. Conclusions Intraspinal hematomas in acute coronary syndromes are scarce but critical conditions after percutaneous coronary intervention. Multiple mixed spontaneous spinal subdural hematoma/ epidural hematoma could be fully reversed by circumspect neurolysis and limited laminectomy timely.

Spontaneous Spinal Epidural Hemorrhage causing Paraplegia

2017 ◽  
Vol 4 (1) ◽  
pp. 40-41
Author(s):  
MK Garg ◽  
Vikas Maheshwari ◽  
Chinmaya Srivastava ◽  
Amit Narang
Keyword(s):  
Epidural Hemorrhage ◽  
Spinal Epidural
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