Extent of spinal canal obliteration as prognostic factor for functional outcome in patients with spontaneous spinal epidural hematoma: a retrospective study

Marhold, Franz; Popadic, Branko; Rechberger, Philipp; Berger-Brabec, Sonja; I, Decristoforo; Sherif, Camillo; Scheichel, Florian

doi:10.1007/s00701-021-05011-x

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…A good functional outcome in SEH patients depends on three main factors: (1) the severity of the neurological lesion preoperatively; (2) how quickly the SEH is evacuated; (3) early postoperative rehabilitation. In patients with either complete or incomplete spinal cord lesions, recovery to the point of no/minimal neurological deficit is probable if surgical decompression is performed within 12 h. 24 , 25 In several experimental studies, HBO therapy has exhibited promising neuroprotective effects, which are manifested in the following aspects: (1) decreasing apoptosis through various mediators; (2) reducing oxidative stress and lipid peroxidation; (3) promoting angiogenesis; (4) mitigating spinal cord edema; and (5) enhancing autophagy. 26 , 27 In our case, the patient benefited from timely surgery and early HBO therapy.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of ventral spontaneous thoracic epidural hematoma

Zhou

2024

Clinical Case Reports

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Key Clinical MessageSpontaneous spinal epidural hematoma (SSEH) rarely occurs. Without early diagnosis, SSEH can lead to the acute onset of neurologic deficits. We report the case of a 65‐year‐old male with diabetes mellitus who was admitted to our emergency department with a chief complaint of sharp and severe pain in the left scapula and behind the sternum. He was misdiagnosed with cardiovascular disease until the onset of progressive bilateral paraplegia and lower limb numbness. Magnetic resonance imaging revealed a ventral thoracic SSEH. Surgical treatment to remove epidural hematoma and laminectomy for decompression were performed. Except for urine retention, bilateral lower limb paraplegia and numbness were alleviated postoperatively. Due to the high risk of poor neurological outcomes without treatment or with delayed intervention, timely surgical evacuation of the hematoma and hemostasis are recommended to ensure favorable neurological outcomes.

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