Chronic Lumbar Epidural Hematoma in a Patient Who Had Spondylolysis at the Third Lumbar Vertebra. Report of a Rare Case Involving a Seventeen-Year-Old Adolescent*

Nagata, Kensei; Ariyoshi, Mamoru; Ishibashi, Kazumasa; Hirano, Shoji; Inoue, Akio

doi:10.2106/00004623-199810000-00013

Cited by 13 publications

(9 citation statements)

References 15 publications

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“…Epidural hematomas have biconvex intensity at MRI [6]. Epidural hematomas should be distinguished from epiduritis, neural cysts, metastatic tumors and discs [2]. The treatment is performed due to neurological examination and radiological findings [7].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous regression of traumatic lumbar epidural hematomas

et al. 2012

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SummaryBackground:The aim of this report is to present a case of spontaneous regression of traumatic lumbar epidural hematomas.Case Report:A 45-year-old man presented at our clinic after falling from a height. After admission, anterior compression was detected by X-ray, so lumbar spinal CT was performed. For ligament damage, emergency MR was performed. There was acute hematoma at 1 cm diameter, which began at the L3 vertebra superior surface and spread to L4 vertebra corpus; therefore the patient was informed and surgery recommended. The patient rejected the surgery, and medical management was designed. At day 45, lumbar MRI was performed. There was no evidence of traumatic epidural hematoma.Conclusions:The purpose of this study is to report a case with post-traumatic spinal epidural hematomas with normal neurologic findings and spontaneous regression.

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Section: Discussionmentioning

confidence: 99%

“…Bleeding is usually seen at thoracic and lumbar regions and can occur spontaneously or with spinal trauma, anticoagulant thrombolytic treatment, bleeding diathesis or after lumbar puncture [1,2]. …”

Section: Introductionmentioning

confidence: 99%

Spontaneous regression of traumatic lumbar epidural hematomas

et al. 2012

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“…Some authors suggest the fragility of the epidural venous plexus as the cause of bleeding. Vascular malformations were proven in some cases, but their involvement is uncertain [8][9][10]. Gundry and Heithoff reported an association between epidural hematoma and rupture of a deep disc.…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis for SEH includes migration of a slipped disc, metastatic tumor, epiduritis and rarely a neural cyst [9]. So accurate neuroradiologic confirmation of the correct diagnosis is mandatory.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic thoracic anterior epidural hematoma together with Posttraumatic T11-12 Disc Herniation: A case report

Kayali¹,

H²

2017

Clin Case Rep Rev

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“…Los casos espontáneos suelen relacionarse con malformaciones arteriovenosas o hemangiomas vertebrales 4 . Se han descrito algunas formas tras importantes esfuerzos físicos 5,6 , lesiones traumatológicas como espondilolisis 9 o hernias discales 1 . Los niveles lesionales más habituales son en columna dorsal, pero pueden producirse a cualquier altura del raquis.…”

Section: Discussionunclassified

Hematoma epidural lumbar crónico espontáneo

et al. 2005

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Recibido:533 Neurocirugía 2005; 16: Resumen Presentamos un caso excepcional de estenosis de canal lumbar con síndrome de cola de caballo por un hematoma crónico espontáneo en el espacio epidural L2-L3.Se trata de un varón de 53 años que, sin ninguna clase de antecedente patológico relacionado con el problema actual (traumatismos, punciones lumbares, toma de antiagregantes o anticoagulantes), presenta una colección hemática epidural que va comprimiendo progresivamente la cola de caballo. Las pruebas de imagen mostraron una colección polilobulada, bien delimitada, que se interpretó como quiste sinovial. Tras la cirugía (laminectomía descompresiva y evacuación) se confirmó el diagnóstico con estudio histológico. Tras la operación se recuperó por completo la función neurológica.PALABRAS CLAVE: Hematoma epidural. Crónico. Lumbar. Espontáneo. Laminectomía. Chronic spontaneous lumbar epidural hematoma SummaryWe report an exceptional case of cauda equina syndrome, caused by a chronic epidural hematoma of the lumbar spine, (L2-L3). A 53 year old man without history of trauma, lumbar punctures or antiagregant medication, suffered from progressive back pain and minor motor deficit in the legs. The etiology, MRI, intraoperative findings and microscopical study are presented and discussed. After surgery there was a complete resolution of the clinical picture.

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Chronic Lumbar Epidural Hematoma in a Patient Who Had Spondylolysis at the Third Lumbar Vertebra. Report of a Rare Case Involving a Seventeen-Year-Old Adolescent*

Cited by 13 publications

References 15 publications

Spontaneous regression of traumatic lumbar epidural hematomas

Spontaneous regression of traumatic lumbar epidural hematomas

Posttraumatic thoracic anterior epidural hematoma together with Posttraumatic T11-12 Disc Herniation: A case report

Hematoma epidural lumbar crónico espontáneo

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