Spontaneous spinal epidural hematoma: analysis of 23 cases

Zhan, Lin; Jiao, Qing-fang; Xu, Jianguo; Wang, Xiang; Li, Sanzhong; You, Chao

doi:10.1016/j.surneu.2007.02.019

Cited by 137 publications

(140 citation statements)

References 31 publications

Supporting

Mentioning

131

Contrasting

Unclassified

Order By: Relevance

“…Liu et al . reported that 2 of 23 SSEH cases did not involve back and/or neck pain 1. For these cases, the establishment of a diagnosis is difficult.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men

Hongo

Iseda

Tsuchiya

et al. 2017

Acute Medicine & Surgery

View full text Add to dashboard Cite

CasesSpontaneous spinal epidural hematoma (SSEH) is an uncommon disease. Most SSEH cases involve back and/or neck pain. We report the cases of two men who experienced SSEH with dysstasia but without back or neck pain.OutcomesThis study presents two cases involving elderly Japanese men who visited an emergency department because of sudden dysstasia without back or neck pain. The results of the neurological examinations revealed ataxic gait. Cervical spinal epidural hematomas were observed by computed tomography and magnetic resonance imaging. One patient underwent hematoma removal and decompression by corpectomy, whereas the other patient received conservative treatment and observation. The patients were discharged without sequelae.ConclusionSpinal epidural hematomas are difficult to diagnose, and a delayed diagnosis can adversely affect the patient's quality of life. These hematomas should be considered in the differential diagnosis of cerebrovascular diseases.

show abstract

“…Liu et al . reported that 2 of 23 SSEH cases did not involve back and/or neck pain 1. For these cases, the establishment of a diagnosis is difficult.…”

Section: Discussionmentioning

confidence: 99%

“…Previous case reports have indicated that almost 90% of SSEH cases involve back and/or neck pain 1. We report the cases of two elderly Japanese men who experienced spontaneous cervical epidural hematomas with dysstasia but without back or neck pain.…”

Section: Introductionmentioning

confidence: 87%

Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men

Hongo

Iseda

Tsuchiya

et al. 2017

Acute Medicine & Surgery

View full text Add to dashboard Cite

show abstract

“…Spontan spinal epidural hematomlar (SSEH) ise spinal hematomların nadir görülen diğer bir nedenidir. SSEH insidansı 1/1000000 iken SEH insidansı 1/100000'dir (2,3). SEH görülme sıklığı 15-20 yaş ve 50-60 yaşlarda pik yaparken, SSEH 40-50 yaşlarda daha sık görülmektedir.…”

Section: Introductionunclassified

“…Çünkü bu venöz pleksusun kapakçıkları yoktur ve spinal venler kırılgan yapıdadır. İntratorasik veya intra abdominal basınç artması ile epidural venlerde rüptür ve kanama gelişebilmektedir (2). Klinik, lezyon seviyesine bağlı olarak boyun veya sırt _____________________________________________________________________________________________________________________________ ağrısını takiben gelişen her iki bacakta kuvvetsizlik veya her iki kol ve bacakta kuvvetsizliktir.…”

Section: Introductionunclassified

“…Klinik, lezyon seviyesine bağlı olarak boyun veya sırt _____________________________________________________________________________________________________________________________ ağrısını takiben gelişen her iki bacakta kuvvetsizlik veya her iki kol ve bacakta kuvvetsizliktir. Ağrı ve parapleji, sinir köklerine ve spinal korda bası sonucu gelişmektedir (1,2). En sık kanama yerleri C6 ve T12'dir.…”

Section: Introductionunclassified

See 1 more Smart Citation

Spinal Epidural Hematoma Presenting with Paraplegia: Two Different Etiologies and Treatment Approaches

Akpınar¹,

Doğru²,

Balcı³

et al. 2017

Türk Beyin Damar Hast Derg

View full text Add to dashboard Cite

The vertebral venous plexuses: The internal veins are muscular and external veins have valves

et al. 2011

View full text Add to dashboard Cite

The internal and external vertebral venous plexuses (VVP) extend the length of the vertebral column. Authoritative sources state that these veins are devoid of valves, permitting bidirectional blood flow and facilitating the hematogenous spread of malignant tumors that have venous connections with these plexuses. The aim of this investigation was to identify morphologic features that might influence blood flow in the VVP. The VVP of 12 adult cadavers (seven female, mean age 79.5 years) were examined by macro- and micro-dissection and representative veins removed for histology and immunohistochemistry (smooth muscle antibody staining). A total of 26, mostly bicuspid, valves were identified in 19 of 56 veins (34%) from the external VVP, all orientated to promote blood flow towards the internal VVP. The internal VVP was characterized by four main longitudinal channels with transverse interconnections; the maximum caliber of the longitudinal anterior internal VVP veins was significantly greater than their posterior counterparts (P < 0.001). The luminal architecture of the internal VVP veins was striking, consisting of numerous bridging trabeculae (cords, thin membranes and thick bridges) predominantly within the longitudinal venous channels. Trabeculae were composed of collagen and smooth muscle and also contained numerous small arteries and nerve fibers. A similar internal venous trabecular meshwork is known to exist within the dural venous sinuses of the skull. It may serve to prevent venous overdistension or collapse, to regulate the direction and velocity of venous blood flow, or is possibly involved in thermoregulation or other homeostatic processes.

show abstract

Spontaneous spinal epidural hematoma: analysis of 23 cases

Cited by 137 publications

References 31 publications

Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men

Two cases of spontaneous cervical epidural hematoma without back or neck pain in elderly Japanese men

Spinal Epidural Hematoma Presenting with Paraplegia: Two Different Etiologies and Treatment Approaches

The vertebral venous plexuses: The internal veins are muscular and external veins have valves

Contact Info

Product

Resources

About