Spontaneous spinal epidural hematoma in an untreated hypertensive patient

Large Increase in Blood Pressure After Extubation and High Body Mass Index Elevate the Risk of Spinal Epidural Hematoma After Spinal Surgery

“…Several previous studies reported that uncontrollable hypertension was a risk factor for spontaneous SEH. [13][14][15][16] We speculated that a large increase in blood pressure during the perioperative period could increase the risk of postoperative SEH. There may be a large increase in blood pressure at the time of extubation, especially after hypotensive general anesthesia aimed at reducing intraoperative blood loss.…”

High blood pressure and the spontaneous spinal epidural hematoma: the misconception about their correlation

“…Spengos et al [3] recall their publication of a similar case with a spontaneous spinal epidural hematoma (SSEH) at C4-7, suffering from both hypertension and a BrownSequard syndrome after acute neck pain. No apparent cause of the hematoma was found.…”

“…It is now clear that cerebral venous thrombosis (CVT) is more common than once believed, and there is an increasing awareness of the variety of clinical presentations [1,2]. Newer imaging procedures have led to easier recognition of venous sinus thrombosis, offering the opportunity for early therapeutic measures [3]. The disease is serious with predisposing and influencing factors.…”

Spontaneous Cervi̇cal Epi̇dural Hematoma Due to Oral Anti̇coagulant Use

“…1 Usually observed in cervical and thoracic regions, SCEHs are the rarest among the pathologies causing spinal cord compression. [2][3][4][5] Epidural hematomas are generally located to the posterior aspect of the spinal cord owing to close relationship of the dura with the posterior longitudinal ligament at the anterior aspect of the dural sac. 2,3,5,6 Epidural hematomas located in the cervical region manifest with acute or chronic symptoms, although neck pain or root pain are the most common complaints.…”

“…SCEH may complicate hypertension, vascular malformations, bleeding disorders, anticoagulant therapy, tumors, pregnancy, vasculitic syndromes, surgical interventions, and epidural anesthesia. [3][4][5][6]9,10 In this case, we aimed to presented a SCEH case. There was no ethical problem in this case.…”