Spontaneous Spinal Epidural Hematoma of the Thoracic Spine in Young Adult: A Case Report / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
;
: 194-198, 2008.
Article
in Korean
| WPRIM
| ID: wpr-154624
ABSTRACT
A spontaneous spinal epidural hematoma (SSEH) of the thoracic spine is a rare space-occupying disease that accompanied with severe axial pain in the spine. Because there is the possibility of a significant neurological injury such as paraplegia, SSEH requires careful diagnosis and management. A SSEH is mainly caused by a coagulating disorder or anticoagulant medication, while certain cases have shown that this disease is related with spinal inflammatory conditions. A SSEH tends to occur in patients who have risk factors for hemorrhage. However, the incidence of SSEH is quite low, and there are few domestic reports of a SSEH in young adults who are without the risk factors for hemorrhage. We encountered a 25 years old young male without a prior significant medical history and he was suffering from severe back pain and paraplegia due to a SSEH at the thoracic spine. The early diagnosis was made via MRI. We report here on a favorable clinical outcome that was achieved with immediate operative treatment, and we include a review of the relevant literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Spine
/
Stress, Psychological
/
Incidence
/
Risk Factors
/
Back Pain
/
Early Diagnosis
/
Hematoma, Epidural, Spinal
/
Hemorrhage
Type of study:
Diagnostic study
/
Etiology study
/
Incidence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2008
Type:
Article
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