Spontaneous Epidural Hematoma Associated with Venous Phlebolith in Cervical Spine and Possible Pathogenesis
Korean Journal of Spine
;
: 96-98, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-187208
ABSTRACT
Although the etiology of spontaneous spinal epidural hematoma (SSEH) is unclear, SSEH is known to be associated with anticoagulants, coagulopathy, vascular malformation, hypertension, and pregnancy. However, no report has been issued on the relation between SSEH and venous phlebolith. Here, the authors present an extremely rare case of SSEH associated with phlebolith in the cervical spine and suggest a possible pathogenesis. A 36-year-old man without any relevant medical history presented with neck pain and numbness and severe radiating pain on the left arm. Magnetic resonance imaging showed epidural hematoma at the C5–7 level, and computed tomography revealed a calcified nodule in the left epidural hemorrhage at C6 level. During left partial laminectomy, epidural venous plexus, and thick epidural hematoma were found, and hematoma removal revealed a white, ovoid, smooth, hard mass of diameter 3 mm. Histopathologic examination confirmed the mass as a venous phlebolith. The presence of a calcified solitary nodule in dorsal epidural space indicates the presence of phlebolith and the risk of SSEH. In such cases, the authors recommend spine surgeons should take into consideration the possibility of epidural hemorrhage.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Brazo
/
Columna Vertebral
/
Imagen por Resonancia Magnética
/
Dolor de Cuello
/
Hematoma Espinal Epidural
/
Espacio Epidural
/
Malformaciones Vasculares
/
Cirujanos
/
Hematoma
/
Hemorragia
Tipo de estudio:
Estudio de etiología
Límite:
Adulto
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Korean Journal of Spine
Año:
2017
Tipo del documento:
Artículo
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