Acute Spontaneous Thoracic Spinal Epidural Hematoma: A Case Report
Journal of the Korean Society of Emergency Medicine
;
: 197-200, 2004.
Artigo
em Coreano
| WPRIM
| ID: wpr-85405
ABSTRACT
Spontaneous spinal epidural hematoma (SSEH) is a rare entity that has been reported to occur in different age groups, from pediatric to elderly patients. The etiology and the pathogenesis remain unclear. By definition, SSEH excludes that due to obvious trauma, anticoagulant therapy, coagulopathy, vascular malformation, and tumors. The pre-senting symptoms vary, but the usual earliest presentation is a sudden stabbing pain associated with a nerve-root type of irradiation. A variable degree of sensorimotor deficit then rapidly develops. An urgent computed tomography (CT) myelography and magnetic resonance imaging (MRI) can be performed to diagnose the hematoma. For patients with incomplete sensorimotor deficit, favorable outcomes are thought to correlate highly with surgery (decompressive laminectomy) within 48 hours. This critical time is sharply reduced to 12 hours for patients with complete sensorimotor deficit.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Coluna Vertebral
/
Imageamento por Ressonância Magnética
/
Mielografia
/
Hematoma Epidural Espinal
/
Malformações Vasculares
/
Hematoma
/
Laminectomia
Limite:
Idoso
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2004
Tipo de documento:
Artigo
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