ABSTRACT
The spontaneous spinal epidural hematoma has a rare occurrence. Recently the authors have experienced a case of chronic spontaneous thoracic epidural hematoma in a 26 year old woman. She presented with Lt. scapular and upper thoracic pain, paraparesis and acute voiding difficulty during pregnancy and postpartum period. The thoracic myelography with niopam was performed by lumbar tap and C1-2 tap. Resoluted spinal epidural hematoma was removed with nearly complete recovery after 5 weeks. There was no trauma history but Lt. scapular and upper thoracic pain had been developed during previous pregnancy about 3 years ago. We present that this case may be related with pregnancy and delivery.
Subject(s)
Adult , Female , Humans , Pregnancy , Hematoma , Hematoma, Epidural, Spinal , Iopamidol , Myelography , Paraparesis , Postpartum PeriodABSTRACT
Urokinase use after stereotaxic evacuation of hematoma became a popular method in treatment of hypertensive intracerebral hematoma. We obtained excellent result in evacuaIon of the hematoma which was remained after stereotaxic evacuation or direct approach for 24 raumatic intracerebral hematoma cases. And we found several advantages in this method compared with standard treatment modalities. We think that this is a new, effective treatment method for traumatic intracerebral hematoma.