1/44. Transient edema of the spinal cord as a result of spontaneous acute epidural hematoma in the thoracic spine.We present an unusual case of spontaneous epidural hemorrhage in the thoracic spine resulting in rapid onset of transient and extensive edema in the spinal cord. The patient presented with acute onset of midscapular back pain, bilateral lower extremity weakness, and bladder dysfunction. Repeat MRI 20 days after decompression of the hematoma showed residual hematoma and complete resolution of the spinal cord edema. The implications and differential diagnosis of spinal cord edema in this clinical setting are discussed.- - - - - - - - - - ranking = 1keywords = spinal (Clic here for more details about this article) |
2/44. Spinal shock in spontaneous cervical spinal epidural haematoma.A young man presented with quadriparesis and spinal shock because of a spontaneous cervical spinal epidural haematoma was reported. Immediate MRI diagnosis followed by emergency decompression with six hours of presentation resulted in complete recovery.- - - - - - - - - - ranking = 0.85714285714286keywords = spinal (Clic here for more details about this article) |
3/44. Resolution of spinal epidural haematoma without surgery in a haemophilic infant.Non-traumatic spinal epidural haematoma is a rare complication of haemophilia. We report a seven-month-old boy who presented with symptomatic spinal epidural haematoma. He was found to have a hemophilia b trait, and after factor ix replacement, his neurological signs were stabilized and follow-up MRI demonstrated rapid resolution of the haematoma. This illustrative case suggests that surgical intervention can be deferred as the first step in treating spinal epidural haematoma in a haemophilic infant.- - - - - - - - - - ranking = 1keywords = spinal (Clic here for more details about this article) |
4/44. Spontaneous spinal epidural hematoma in a pregnant patient.Spontaneous spinal epidural hematoma is a rare occurrence during pregnancy with only five cases described in the literature since 1900. Even in the general population, the frequency of spontaneous spinal epidural hematoma is extremely low and the etiology unclear. Several theories exist for the cause of spontaneous spinal epidural hematoma, however, none has gained uniform acceptance. A case of spontaneous spinal epidural hematoma during pregnancy in a 27-year-old, gravida 2, para 1, female at term with 36 hours duration of both paresthesia and progressive weakness of the lower extremities is presented. In addition, all previous known cases are summarized, including outcome. We hypothesize that the cause of spontaneous spinal epidural hematoma is multifactorial, and pregnancy-induced structural changes in arterial walls and hemodynamic changes may play a role. In addition, we postulate that the origin of the bleeding is arterial, rather then venous. Lastly, the symptoms, diagnosis, and management of spontaneous spinal epidural hematoma during pregnancy are discussed.- - - - - - - - - - ranking = 1.4285714285714keywords = spinal (Clic here for more details about this article) |
5/44. Spinal epidural hematoma occurrence in the absence of known risk factors: a case series.Spinal epidural hematoma in the absence of coagulopathy or anticoagulation therapy is an extremely rare occurrence, with a reported incidence of less than 1 in 1 million. We present seven cases of documented epidural hematoma in the absence of coagulopathy or anticoagulation therapy to alert the clinician to consider spinal or epidural hematoma when suspicious signs and symptoms are present after neuraxial block in the absence of coagulopathy or anticoagulation therapy. The need for immediate diagnosis and therapy is emphasized as the only potential for meaningful recovery.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
6/44. Spinal epidural hematoma following central neuraxial blockade and subcutaneous enoxaparin: a case report.An elderly patient developed a spinal epidural hematoma 3 days after lumbar puncture resulting in paraplegia. Concurrent administration of enoxaparin, aspirin, ketorolac, and a traumatic tap were implicated in causation.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
7/44. The use of ultrasound for the diagnosis of spinal hemorrhage in a newborn.We present a case of an unusually large spinal epidural hematoma in an infant after a total breech extraction, which was diagnosed by high-resolution ultrasonography. The lesion appeared unusually large, homogeneous, and isoechoic to the spinal cord. This case demonstrates the ability of ultrasound to diagnose the nature of the lesion, its exact location and full extent. Magnetic resonance imaging was used in this case only as a secondary modality to demonstrate the hemorrhagic nature of the lesion.- - - - - - - - - - ranking = 0.85714285714286keywords = spinal (Clic here for more details about this article) |
8/44. Cervical epidural hematoma without fracture in a patient with ankylosing spondylitis. A case report.Ankylosing spondylitis (AS) is an inflammatory disease involving the axial spine. Alterations in vertebral biomechanics leave the spine sensitive to traumas which, though minimal, may cause serious neurological lesions, particularly in long term AS patients with a completely ankylosed spine, who are more prone to suffer spine fractures. A 62-year-old man with a long-term AS suffered a minor trauma resulting in a cervical epidural hematoma from C2 to C7, leading to paraplegia. On the diagnosis of hematoma, he underwent C3-C7 left hemilaminectomies, to remove the hematoma. We could find no cause for the hematoma. The patient's condition improved, and he was eventually able to perform all his activities independently. Even though traumatic spinal epidural hematoma (SHE) of the ankylosed spine may occur in the absence of fracture, it is commonly associated with traumatic fracture or dislocation of the spine, particularly the cervical spine. In all the published series of SEH in AS, we could only find one more case of this pathology at the cervical spine without a fracture. Neurologic recovery can be successful if decompression is performed early. SHE must be considered after trauma to an ankylosed spine when there is neurological deterioration despite the absence of fracture. A good outcome depends on the early diagnosis and surgery.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
9/44. Clinical course of spontaneous spinal epidural haematoma mimicking guillain-barre syndrome in a child: a case report and literature review.We describe a 9-year-old female with thoracic epidural haematoma. The clinical course simulated guillain-barre syndrome (GBS) so intravenous immunoglobulin therapy was started at the paediatric clinic. magnetic resonance imaging (MRI) 3 days after admission showed thoracic epidural haematoma between T2 and T8. An emergency laminectomy was performed and the patient's neurological symptoms began to improve immediately after surgery and she made a full recovery during the 2 weeks of follow-up. time is a very important factor in achieving reversibility of symptoms of compressive cord lesions, such as spinal epidural haematoma, and MRI is mandatory for patients with progressive paraplegia, even though the signs and symptoms might suggest GBS.- - - - - - - - - - ranking = 0.71428571428571keywords = spinal (Clic here for more details about this article) |
10/44. Spontaneous spinal epidural haematoma: report of two cases and review of the literature.The clinical presentation, investigation, management and outcome of two patients with spontaneous spinal epidural haematoma (SSEH) are presented. CT myelogram revealed an extradural compressive lesion in one patient and MRI confirmed extradural haemorrhage in the second. Both the cases were treated surgically. One patient made a complete recovery and the other made no neurological recovery. The clinical presentation, diagnosis, treatment and factors determining the outcome of SSEH are discussed and the literature reviewed.- - - - - - - - - - ranking = 0.71428571428571keywords = spinal (Clic here for more details about this article) |
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