2022
DOI: 10.1007/s00701-022-05130-z
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Prognostic factors for spontaneous spinal epidural hematoma: a multicenter case–control study

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Cited by 8 publications
(7 citation statements)
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“…It however confirms their role as risk factor in the occurrence of SSEH as 53% of the patients in our study were receiving these medications [ 10 ]. Male sex was predominant with 65% in our cohort, while other similar analyses showed a more balanced sex distribution [ 2 , 8 ].…”
Section: Discussionsupporting
confidence: 49%
See 1 more Smart Citation
“…It however confirms their role as risk factor in the occurrence of SSEH as 53% of the patients in our study were receiving these medications [ 10 ]. Male sex was predominant with 65% in our cohort, while other similar analyses showed a more balanced sex distribution [ 2 , 8 ].…”
Section: Discussionsupporting
confidence: 49%
“…Due to scarce data on SSEH, there are no management guidelines available [ 11 ]. Several publications however support an immediate evacuation of an SSEH in symptomatic cases [ 5 , 8 , 22 , 29 , 30 ]. Time-to-treatment, preoperative clinical status, use of anticoagulants, radiologically assessed factors such as the canal occupation ratio as well as the localization and expansion of the hematoma and evidence of myelopathy in the spinal cord on MRI imaging were correlated with clinical outcome [ 1 , 3 , 4 , 8 , 12 , 22 , 25 , 29 ].…”
Section: Discussionmentioning
confidence: 99%
“…In adults, SSEH usually occurs in the junction of the cervical-thoracic or thoracic-lumbar spine [12] . Additionally, SEEH incidence increases with age, with most cases occurring in individuals aged > 40 years (average age = 48 years) [13] .…”
Section: Discussionmentioning
confidence: 99%
“…The reason for this unfavorable outcome is believed to be the extended plegic period. Although several prognostic factors for the surgical outcomes of SSEH have been reported, the most important one is considered to be the time from symptom onset to surgery, with recent studies demonstrating that surgery within 12 hours results in better neurological recovery 2,12,13 . In 3 of the 4 surgical cases, it required several days from the onset of paralytic symptoms to surgery (cases 1, 3, and 5).…”
Section: Discussionmentioning
confidence: 99%