Conservative Treatment of Spontaneous Spinal Epidural Hematoma: A Case Report / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
;
: 319-322, 2006.
Article
in Korean
| WPRIM
| ID: wpr-70346
ABSTRACT
A spontaneous spinal epidural hematoma (SSEH) is a rare disease that accompanies severe axial pain in the spine with various levels of paralysis depending on the location of the hematoma. A SSEH is mainly caused by a coagulating disorder or anticoagulants medication, while certain cases relate this disease with spinal inflammatory conditions. The early diagnosis of a SSEH is important for its treatment. Most cases with neurologic symptoms can be treated with a immediate laminectomy and decompression. If the neurologic symptoms improves within 12 hours, a conservative treatment is effective, however few cases have been reported. We encountered a 59 years old male without a prior medical history suffering from severe back pain and paraplegia due to a SSEH at thoracic vertebrae. The patient was successfully treated conservatively. We report this case with a review of the relevant literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Paraplegia
/
Spine
/
Thoracic Vertebrae
/
Back Pain
/
Decompression
/
Rare Diseases
/
Early Diagnosis
/
Hematoma, Epidural, Spinal
/
Hematoma
Type of study:
Diagnostic study
/
Screening study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2006
Type:
Article
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