Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma

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BACKGROUND: Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered an indication for emergent surgical decompression. We aimed to investigate a patient with a SSEH that completely resolved clinically and radiographically, without s...

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Autores principales: Gundag, M, Hakan, M, Dogan, K, Kitis, S, Ozkan, N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482330/
https://www.ncbi.nlm.nih.gov/pubmed/23115720
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author Gundag, M
Hakan, M
Dogan, K
Kitis, S
Ozkan, N
author_facet Gundag, M
Hakan, M
Dogan, K
Kitis, S
Ozkan, N
author_sort Gundag, M
collection PubMed
description BACKGROUND: Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered 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.
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spelling pubmed-34823302012-10-31 Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma Gundag, M Hakan, M Dogan, K Kitis, S Ozkan, N Iran Red Crescent Med J Case Report BACKGROUND: Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered 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. Kowsar 2012-09-30 2012-09 /pmc/articles/PMC3482330/ /pubmed/23115720 Text en Copyright © 2012, Iranian Red Crescent Medical Journal http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gundag, M
Hakan, M
Dogan, K
Kitis, S
Ozkan, N
Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
title Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
title_full Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
title_fullStr Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
title_full_unstemmed Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
title_short Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
title_sort spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482330/
https://www.ncbi.nlm.nih.gov/pubmed/23115720
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