scholarly journals Acute Cervical Spontaneous Spinal Epidural Hematoma Presenting with Minimal Neurological Deficits: A Case Report

2016 ◽  
Vol 6 (5) ◽  
Author(s):  
Jisoon Huh ◽  
Ho-young Kwak ◽  
You-Nam Chung ◽  
Sun Kyung Park ◽  
Yun Suk Choi
2021 ◽  
Vol 16 (8) ◽  
pp. 2207-2210
Author(s):  
Darshan Gandhi ◽  
Anisa Chowdhary ◽  
Asim Kichloo ◽  
Jagmeet Singh ◽  
Love Patel ◽  
...  

2004 ◽  
Vol 24 (3) ◽  
pp. 132-135 ◽  
Author(s):  
Asako AMANO ◽  
Tetsuro MITSUSE ◽  
Akira HASHIGUCHI ◽  
Kazuyuki MASUDA ◽  
Yoshitaka JO ◽  
...  

2013 ◽  
Vol 17 (6) ◽  
pp. 537-542 ◽  
Author(s):  
An-Sofie Schoonjans ◽  
Jozef De Dooy ◽  
Sandra Kenis ◽  
Tomas Menovsky ◽  
Stijn Verhulst ◽  
...  

Author(s):  
Peter A. Pahapill ◽  
Stephen P. Lownie

ABSTRACT:Background:In cases of acute spontaneous spinal epidural hematoma producing neurological deficits, emergency surgical evacuation is the standard treatment.Methods:Such a case is presented in which complete resolution of neurological deficits occurred without surgical intervention.Results:This is the fifth reported case of complete recovery in a patient managed conservatively. In most reports, significant and sustained neurological recovery had occurred within 12 hours of impairment of walking.Conclusion:In cases of acute spontaneous spinal epidural hematoma in which neurological deterioration is followed by early and sustained recovery, non-operative therapy may be considered.


2009 ◽  
Vol 11 (4) ◽  
pp. 480-486 ◽  
Author(s):  
Cheng-Chih Liao ◽  
Po-Chuan Hsieh ◽  
Tzu-Kang Lin ◽  
Chih-Lung Lin ◽  
Yang-Lan Lo ◽  
...  

Object Spontaneous spinal epidural hematoma (SSEH) is a rare disease. The goal of this study was to clarify the treatment results and management options in SSEH. Methods Patients with SSEH who were surgically treated in the authors' center between June 2003 and June 2008 were included in this study. Patients were treated as early as possible if their neurological deficits were incomplete or had been complete for 12 hours or less. The patients were assigned to 1 of 2 groups based on completeness of preoperative cord dysfunction (complete vs incomplete deficit). Surgical outcomes of the 2 groups were compared by functional performance, coded as Nurick grades at 1, 3, and 6 months after the operation. Also compared were duration of hospital stay and the number of days needed to regain the ability to function independently (defined as Nurick Grades 1 and 2) after the operation. Results There were 17 patients (7 female and 10 male) with pathologically confirmed SSEH. Coagulopathy, greater size (length) of SSEH, and preoperative complete spinal dysfunction were found to contribute to poor postoperative functional recovery (p < 0.05). Patients with incomplete preoperative deficits (ASIA Impairment Scale Grades B, C, and D) were able to achieve functional independent recovery within a month after surgery and had significantly better outcomes (lower Nurick grades) at 1, 3, and 6 months postoperatively than those with complete deficits (p < 0.001, p = 0.027, and p = 0.027, respectively). Median time to independent functional recovery and median length of hospital stay were significantly shorter in patients with incomplete preoperative deficits than in those with complete deficits (6 vs 110 and 9 vs 58 days, respectively; both p < 0.001). Conclusions Impaired preoperative hemostasis contributes to larger size of SSEH, high probability of postoperative recurrence of spinal epidural hematoma, and poor functional recovery following surgical evacuation. Incomplete spinal cord dysfunction before surgery predicts good outcome and warrants emergent evacuation of SSEH especially in the cervical and thoracic regions, where the clots are located in proximity to the spinal cord.


2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Leandro U Taniguchi ◽  
Felix H Pahl ◽  
José ED Lúcio ◽  
Roger S Brock ◽  
Marcos QT Gomes ◽  
...  

2015 ◽  
Vol 05 (04) ◽  
pp. 270-274 ◽  
Author(s):  
Oumar Coulibaly ◽  
Lamine Habibou ◽  
Olory Togbé Régis ◽  
Nizar El Fatemi ◽  
Rachid Gana ◽  
...  

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