Published in:
01-07-2009 | Case Report
Spontaneous spinal epidural hematoma as the initial presentation of leukemia
Authors:
Hidetoshi Nojiri, Sungdo Kim, Takaaki Tsuji, Soichi Uta
Published in:
European Spine Journal
|
Special Issue 2/2009
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Abstract
We present a case of a 55-year-old male with progressive neurological deficits that appeared dramatically. MRI detected a spinal epidural hematoma at the cervicothoracic junction and blood tests showed leukocytosis, mild anemia, and thrombocytosis. Spontaneous spinal epidural hematoma (SSEH) as the initial presentation of leukemia was diagnosed. Urgent posterior decompression was performed after 28 h from acute onset of backache, and the patient experienced remarkable improvement in neurological findings.