Spontaneous spinal epidural hematoma: unusual emergency and its management

Mohsin Fayaz; Nagaraju Venishetty; Nayil Khursheed; Deepak Kumar Bariya

doi:10.33883/jms.v27i1.1319

Mohsin Fayaz
Nagaraju Venishetty SKIMS HOSPITAL
Nayil Khursheed
Deepak Kumar Bariya

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Résumé

Spontaneous spinal epidural hematoma (SSEH) is one of the causes of sudden and profound neurological compromise. Although half of the cases have no aetiology, many medical and traumatic conditions have been incriminated for developing a hematoma. Neurological compromise range from mild back pain to complete paralysis. Timely intervention may revert neurological deficits in selected patients. Here we present a case of sudden onset paraplegia in an 18 year old male due to SSEH. The patient remarkably improved in neurology with surgical intervention.

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Références

1. Bhat K, Kapoor S, Watali Y, Sharma J. Spontaneous epidural hematoma of spine associated with clopidogrel: A case study and review of the literature. Asian J Neurosurg. 2015 Mar;10(01):54–54.
2. Babayev R, Ekşi MŞ. Spontaneous thoracic epidural hematoma: a case report and literature review. Childs Nerv Syst. 2016 Jan 1;32(1):181–7.
3. Bakker NA, Veeger NJGM, Vergeer RA, Groen RJM. Prognosis after spinal cord and cauda compression in spontaneous spinal epidural hematomas. Neurology. 2015 May 5;84(18):1894–903.
4. Dziedzic T, Kunert P, Krych P, Marchel A. Management and neurological outcome of spontaneous spinal epidural hematoma. J Clin Neurosci. 2015 Apr 1;22(4):726–9.
5. Al-Mutair A, Bednar DA. Spinal Epidural Hematoma. JAAOS - J Am Acad Orthop Surg. 2010 Aug;18(8):494.
6. Baek BS, Hur JW, Kwon KY, Lee HK. Spontaneous Spinal Epidural Hematoma. J Korean Neurosurg Soc. 2008;44(1):40.
7. Huang M, Barber SM, Moisi M, Powell S, Rivera A, Zwillman M, et al. Cervical Epidural Hematoma after Chiropractic Spinal Manipulation Therapy in a Patient with an Undiagnosed Cervical Spinal Arteriovenous Malformation. Cureus [Internet]. 2015 Aug 18 [cited 2023 Jan 13];7(8). Available from: https://www.cureus.com/articles/2991-cervical-epidural-hematoma-after-chiropractic-spinal-manipulation-therapy-in-a-patient-with-an-undiagnosed-cervical-spinal-arteriovenous-malformation
8. Zhong W, Chen H, You C, Li J, Liu Y, Huang S. Spontaneous spinal epidural hematoma. J Clin Neurosci. 2011 Nov 1;18(11):1490–4.
9. Liu Z, Jiao Q, Xu J, Wang X, Li S, You C. Spontaneous spinal epidural hematoma: analysis of 23 cases. Surg Neurol. 2008 Mar 1;69(3):253–60.
10. Lonjon MMC, Paquis P, Chanalet S, Grellier P. Nontraumatic Spinal Epidural Hematoma: Report of Four Cases and Review of the Literature. Neurosurgery. 1997 Aug;41(2):483.
11. Fujiwara H, Oki K, Momoshima S, Kuribayashi S. PROPELLER diffusion-weighted magnetic resonance imaging of acute spinal epidural hematoma. Acta Radiol. 2005 Aug 1;46(5):539–42.
12. Shin JJ, Kuh SU, Cho YE. Surgical management of spontaneous spinal epidural hematoma. Eur Spine J. 2006 Jun 1;15(6):998–1004.
13. Bisson EF, Dumont T, Tranmer B. Spontaneous Spinal Epidural Hematoma in a Child with Hemophilia B. Can J Neurol Sci. 2007 Nov;34(4):488–90.
14. Solheim O, Jorgensen JV, Nygaard OP. LUMBAR EPIDURAL HEMATOMA AFTER CHIROPRACTIC MANIPULATION FOR LOWER-BACK PAIN: CASE REPORT. Neurosurgery. 2007 Jul;61(1):E170.
15. Park J, Lee JB, Park JY, Lim DJ, Kim SD, Chung YK. Spinal Cord Infarction After Decompressive Laminectomy for Spontaneous Spinal Epidural Hematoma. Neurol Med Chir (Tokyo). 2007;47(7):325–7.
16. Lan T, Chen Y, Yang XJ, Hu SY, Guo WZ, Ren K, et al. Spontaneous spinal epidural haematoma. J Orthop Transl. 2015 Jul 1;3(3):152–6.
17. Tailor J, Dunn IF, Smith E. Conservative treatment of spontaneous spinal epidural hematoma associated with oral anticoagulant therapy in a child. Childs Nerv Syst. 2006 Dec 1;22(12):1643–5.