Cargando…

A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature

Spontaneous spinal epidural hematoma (SSEH) is a serious but infrequent cause of profound neurological compromise of acute onset. It is often an atraumatic occurrence, and in around half of the cases, no etiology is identified. However, several causes such as arteriovenous malformation in the spine,...

Descripción completa

Detalles Bibliográficos
Autores principales: Barwar, Nilesh, Kumar, Nitish, Sharma, Amit, Bharti, Ajay, Kumar, Raj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925991/
https://www.ncbi.nlm.nih.gov/pubmed/35308734
http://dx.doi.org/10.7759/cureus.22199
_version_ 1784670143236800512
author Barwar, Nilesh
Kumar, Nitish
Sharma, Amit
Bharti, Ajay
Kumar, Raj
author_facet Barwar, Nilesh
Kumar, Nitish
Sharma, Amit
Bharti, Ajay
Kumar, Raj
author_sort Barwar, Nilesh
collection PubMed
description Spontaneous spinal epidural hematoma (SSEH) is a serious but infrequent cause of profound neurological compromise of acute onset. It is often an atraumatic occurrence, and in around half of the cases, no etiology is identified. However, several causes such as arteriovenous malformation in the spine, use of anticoagulants in various cardiovascular diseases, and spinal trauma have been incriminated for its development. Here we encountered a case of SSEH following unregulated use of anticoagulants after a mitral valve replacement surgery. The patient had complete paraplegia with bowel and bladder involvement. The case was treated with decompressive laminectomy with regularization of her coagulation profile. Although she presented late to the healthcare center for the treatment, she showed a remarkable neurological improvement with gaining power worth near independent ambulation after one year of follow-up.
format Online
Article
Text
id pubmed-8925991
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-89259912022-03-18 A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature Barwar, Nilesh Kumar, Nitish Sharma, Amit Bharti, Ajay Kumar, Raj Cureus Neurology Spontaneous spinal epidural hematoma (SSEH) is a serious but infrequent cause of profound neurological compromise of acute onset. It is often an atraumatic occurrence, and in around half of the cases, no etiology is identified. However, several causes such as arteriovenous malformation in the spine, use of anticoagulants in various cardiovascular diseases, and spinal trauma have been incriminated for its development. Here we encountered a case of SSEH following unregulated use of anticoagulants after a mitral valve replacement surgery. The patient had complete paraplegia with bowel and bladder involvement. The case was treated with decompressive laminectomy with regularization of her coagulation profile. Although she presented late to the healthcare center for the treatment, she showed a remarkable neurological improvement with gaining power worth near independent ambulation after one year of follow-up. Cureus 2022-02-14 /pmc/articles/PMC8925991/ /pubmed/35308734 http://dx.doi.org/10.7759/cureus.22199 Text en Copyright © 2022, Barwar et al. https://creativecommons.org/licenses/by/3.0/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 author and source are credited.
spellingShingle Neurology
Barwar, Nilesh
Kumar, Nitish
Sharma, Amit
Bharti, Ajay
Kumar, Raj
A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature
title A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature
title_full A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature
title_fullStr A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature
title_full_unstemmed A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature
title_short A Rare Presentation of Spontaneous Spinal Epidural Hematoma as Spinal Cord Compression and Complete Paraplegia: A Case Report and Review of the Literature
title_sort rare presentation of spontaneous spinal epidural hematoma as spinal cord compression and complete paraplegia: a case report and review of the literature
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925991/
https://www.ncbi.nlm.nih.gov/pubmed/35308734
http://dx.doi.org/10.7759/cureus.22199
work_keys_str_mv AT barwarnilesh ararepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT kumarnitish ararepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT sharmaamit ararepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT bhartiajay ararepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT kumarraj ararepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT barwarnilesh rarepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT kumarnitish rarepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT sharmaamit rarepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT bhartiajay rarepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature
AT kumarraj rarepresentationofspontaneousspinalepiduralhematomaasspinalcordcompressionandcompleteparaplegiaacasereportandreviewoftheliterature