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Neurocritical Care

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01-10-2008

Spontaneous Spinal Epidural Hematoma of Unknown Etiology: Case Report and Literature Review

Authors: Robert H. Thiele, Ziad A. Hage, Daniel L. Surdell, Stephen L. Ondra, H. Hunt Batjer, Bernard R. Bendok

Published in: Neurocritical Care | Issue 2/2008

Abstract

Introduction

Our objective is to emphasize the importance of recognizing and rapidly treating spontaneous spinal epidural hematoma (SSEH). SSEH is a pathologic entity traditionally thought to be exceptionally rare but which, in the era of MR imaging, is becoming increasingly prevalent, and which if treated with sufficient rapidity can be completely curable.

Clinical Presentation

Our particular case presented with clumsiness, neck pain with radiation to both arms, and bilateral arm weakness. According to the literature surveyed, most patients present with severe back and/or neck pain, often with a radicular component, followed by motor and/or sensory deficits.

Intervention/Technique

C5-6 decompressive hemilaminectomy with evacuation of hematoma.

Conclusion

As evidenced in the literature, outcome depends on time to operation and prognosis is impacted by age and preoperative deficit. Because of the high risk of poor outcome without treatment, SSEH should always be a diagnostic consideration in patients whose presentation is even slightly suggestive. Rapid, appropriate treatment of these patients can often lead to complete recovery of function, whereas any delay in appropriate treatment can be catastrophic.

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Title: Spontaneous Spinal Epidural Hematoma of Unknown Etiology: Case Report and Literature Review
Authors: Robert H. Thiele
Ziad A. Hage
Daniel L. Surdell
Stephen L. Ondra
H. Hunt Batjer
Bernard R. Bendok
Publication date: 01-10-2008
Publisher: Humana Press Inc
Published in: Neurocritical Care / Issue 2/2008
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-008-9083-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Spontaneous Spinal Epidural Hematoma of Unknown Etiology: Case Report and Literature Review

Abstract

Introduction

Clinical Presentation

Intervention/Technique

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Clinical Presentation

Intervention/Technique

Conclusion

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