Spinal epidural haemorrhage

Rao, Balaji; Rao, K. Sambasiva; Subrahmanian, M. V.; Reddy, Muni Venkatesa

doi:10.1002/bjs.1800530723

Cited by 12 publications

(2 citation statements)

References 6 publications

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“…Although the pathogenesis of SSEH is unclear, the bleeding is mostly believed to be venous in origin. (Rao et al 1966) and even trumpet playing (Davis et al 1997), which can cause prolonged Valsalva and sudden fluctuation in intra-abdominal and intrathoracic pressure, have been described preceding the neurological symptoms. Illnesses such as whooping cough (Jackson 1963) and voiding (Cooper 1967) and activities such as weightlifting Patel and Garg (1996).…”

Section: Discussionmentioning

confidence: 99%

Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review

Çakır

Karaarslan

Usul

et al. 2004

Dev Med Child Neurol

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We describe a 9-year-old female with thoracic epidural haematoma. The clinical course simulated Guillain-Barré syndrome (GBS) so intravenous immunoglobulin therapy was started at the paediatric clinic. Magnetic resonance imaging (MRI) 3 days after admission showed thoracic epidural haematoma between T2 and T8. An emergency laminectomy was performed and the patient's neurological symptoms began to improve immediately after surgery and she made a full recovery during the 2 weeks of follow-up. Time is a very important factor in achieving reversibility of symptoms of compressive cord lesions, such as spinal epidural haematoma, and MRI is mandatory for patients with progressive paraplegia, even though the signs and symptoms might suggest GBS.

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Section: Discussionmentioning

confidence: 99%

Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review

Çakır

Karaarslan

Usul

et al. 2004

Dev Med Child Neurol

View full text Add to dashboard Cite

show abstract

“…Illnesses such as whooping cough (Jackson 1963) and voiding (Cooper 1967) Patel and Garg (1996). (Rao et al 1966) and even trumpet playing (Davis et al 1997), which can cause prolonged Valsalva and sudden fluctuation in intra-abdominal and intrathoracic pressure, have been described preceding the neurological symptoms. Other theories, such as the idea that epidural arterial hemorrhage causes mechanical disruption and traction on nerve roots or spontaneous rupture of occult arteriovenous malformation (Beatty and Winston 1984), have also been suggested.…”

Section: Discussionmentioning

confidence: 99%

Clinical course of spontaneous spinal epidural haematoma mimicking Guillain‐Barré syndrome in a child: a case report and literature review

Çakır¹,

Karaarslan²,

Usul³

et al. 2004

Develop Med Child Neuro

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We describe a 9‐year‐old female with thoracic epidural haematoma. The clinical course simulated Guillain‐Barré syndrome (GBS) so intravenous immunoglobulin therapy was started at the paediatric clinic. Magnetic resonance imaging (MRI) 3 days after admission showed thoracic epidural haematoma between T2 and T8. An emergency laminectomy was performed and the patient's neurological symptoms began to improve immediately after surgery and she made a full recovery during the 2 weeks of follow‐up. Time is a very important factor in achieving reversibility of symptoms of compressive cord lesions, such as spinal epidural haematoma, and MRI is mandatory for patients with progressive paraplegia, even though the signs and symptoms might suggest GBS.

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Spontaneous thoracic epidural hematoma: a case report and literature review

Babayev

Ekşi

2015

Childs Nerv Syst

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Spinal epidural hematoma is a rare neurosurgical emergency in respect of motor and sensory loss. Identifiable reasons for spontaneous hemorrhage are vascular malformations and hemophilias. We presented a case of spontaneous epidural hematoma in an 18-year-old female patient who had motor and sensory deficits that had been present for 1 day. On MRI, there was spinal epidural hematoma posterior to the T2-T3 spinal cord. The hematoma was evacuated with T2 hemilaminectomy and T3 laminectomy. Patient recovered immediately after the surgery. Literature review depicted 112 pediatric cases (including the presented one) of spinal epidural hematoma. The female/male ratio is 1.1:2. Average age at presentation is 7.09 years. Clinical presentations include loss of strength, sensory disturbance, bowel and bladder disturbances, neck pain, back pain, leg pain, abdominal pain, meningismus, respiratory difficulty, irritability, gait instability, and torticollis. Most common spinal level was cervicothoracic spine. Time interval from symptom onset to clinical diagnosis varied from immediate to 18 months. Spinal epidural hematoma happened spontaneously in 71.8 % of the cases, and hemophilia was the leading disorder (58 %) in the cases with a definable disorder. Partial or complete recovery is possible after surgical interventions and factor supplementations.

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Spinal epidural haemorrhage

Cited by 12 publications

References 6 publications

Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review

Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review

Clinical course of spontaneous spinal epidural haematoma mimicking Guillain‐Barré syndrome in a child: a case report and literature review

Spontaneous thoracic epidural hematoma: a case report and literature review

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