Spontaneous Resolution of a Traumatic Lumbar Epidural Hematoma with Transient Paraparesis

Yi, Ki-Chang; Paeng, Sung Hwa; Jung, Yong-Tae; Kim, Moo Sung; Jeong, Yonghwan; Pyo, Se Young; Lee, Kun Su; Kim, Sung Tae; Lee, Won Hee; Kim, Ho-Su; Lee, Young Seo

doi:10.21129/nerve.2016.2.2.71

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…7,13,14 Lesions occurring in the cervical lesions has more potential to cause early neurological deterioration (the size of epidural space is less) than lesions occurring in the lumbar region. 7,15,16 MRI is the investigation of choice, as this will show the presence of the lesion, size and extent of the lesion, presence of vertebral fractures, and extent of compression of neural structures, 5,7,[17][18][19] and will also help in differentiating from other lesions involving the spinal cord. 19 Characteristically, on MRI, the spinal epidural fat is lost, 19 which is in contrast to acute spinal subdural, where there is preservation of epidural fat.…”

Section: Discussionmentioning

confidence: 99%

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Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Agrawal

Reddy

Brinda

et al. 2020

Indian Journal of Neurotrauma

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In spite of the relative common occurrence of spinal injuries, spinal epidural hematomas (SEHs) are rare lesions. Depending on the onset, site, size, and presence of neurological deficits, they can be treated conservatively or surgically. In the presented article, we report an uncommon case of posttraumatic dorsolumbar SEH and discuss the characteristic magnetic resonance imaging (MRI) imaging findings of epidural fat in the cases of traumatic spinal hematomas.

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Section: Discussionmentioning

confidence: 99%

“…1,3,22 In selected cases, a conservative management has also shown to be effective with good outcome. 7,18…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Agrawal

Reddy

Brinda

et al. 2020

Indian Journal of Neurotrauma

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“…Rapid absorption also has been reported. Yi et al 12) reported resolution within three days after trauma, and the authors suggested epidural fat tissue or leakage into the paraspinal space via a neural foramen. Surgical treatment should be considered in patients with severe neurological deficits.…”

Section: Discussionmentioning

confidence: 99%

Traumatic C1–C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia

Hwang

Park

You

et al. 2018

Nerve

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A 32-year-old woman presented to our hospital with occipital headache for >1 week following head trauma. She showed no other neurologic symptoms. Pain was aggravated by cervical flexion. Magnetic resonance imaging (MRI) findings showed a spinal epidural hematoma (SEH) at the C1 to C3 level. The C2 roots were encircled and compressed by the hematoma. Medication was prescribed and a neck collar was applied for symptom control. After three weeks, her occipital neuralgia disappeared and cervical flexion did not provoke pain. Followup MRI findings showed total resolution of the SEH. The findings of this case illustrate that occipital neuralgia, especially if characterized by rapid onset, can be caused by SEH after trauma.

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Spontaneous Resolution of a Traumatic Lumbar Epidural Hematoma with Transient Paraparesis

Cited by 2 publications

References 13 publications

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Traumatic C1–C3 Spinal Epidural Hematoma Presented with Occipital Neuralgia

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