Spontaneous spinal extradural hematomas

Ravi, Divya; Dwarakanath, Sanjay; Satish, Renuka; Gopal, S. C.; Venkataramana, NK

doi:10.1016/j.jocn.2005.03.029

Cited by 12 publications

(10 citation statements)

References 16 publications

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“…30 Several factors have been associated with the prognosis of SSEH. 31,32 Preoperative neurologic deficit is the main prognostic indicator, where the outcome is favorable for those with an incomplete preoperative sensorimotor deficit. 6,32 In our study, all patients with complete neurological deficit had not recovered fully at latest follow-up, even after a successful early decompression.…”

Section: Discussionmentioning

confidence: 99%

“…31,32 Preoperative neurologic deficit is the main prognostic indicator, where the outcome is favorable for those with an incomplete preoperative sensorimotor deficit. 6,32 In our study, all patients with complete neurological deficit had not recovered fully at latest follow-up, even after a successful early decompression. A shorter progression interval often led to a worse prognosis: patients with a progression interval 612 hours developed a more serious neurological deficit than those with a progression interval >12 hours.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous spinal epidural hematoma

Zhong

Chen

You

et al. 2011

Journal of Clinical Neuroscience

103

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spontaneous spinal epidural hematoma

Zhong

Chen

You

et al. 2011

Journal of Clinical Neuroscience

103

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“…(8) While some studies have shown that outcomes are related to the duration of spinal cord symptoms and the interval to surgery, other studies have found no difference in outcome and that a longer preoperative interval may not necessarily entail a poorer prognosis. There is also prominent enhancing prever tebral soft tissue (arrowheads) extending from the C5 to T1 levels, and the C6 ver tebral body, as well as bilateral posterior paraspinal muscle involvement.…”

Section: Discussionmentioning

confidence: 99%

Clinics in diagnostic imaging (150)

Mahmud

Singh

Wong

et al. 2013

smedj

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A 19-year-old Chinese man presented to the emergency department with pain in the lower back, which started soon after he had carried some heavy boxes. He denied any fall or trauma preceding the pain. There was no sciatica or neurological deficit on examination. He maintained a normal gait and anal tone. The lumbar spine radiographs were normal. Magnetic resonance (MR) imaging was requested in order to evaluate his persistent back pain. What do the MR images show? What is the diagnosis? Clinics in diagnostic imaging (150)Nor DIAGNOSISAcute spontaneous spinal epidural haematoma. CLIN ICA L COU RS EThe patient was admitted under the care of a spinal surgeon. Those older than 40 years of age show two peak locations, namely the cervicothoracic and thoracolumbar junctions. M e d ic a l E d u c atio n 668 668The presence of the posterior epidural venous plexus supports the commonly accepted theory of a venous cause to the haematoma, where the valveless venous plexus permits a reversal in blood flow when pressure is increased during injury or activity. On sagittal MR images, SSEH is seen as a biconvex-shaped mass separated from the underlying neural structures by a curvilinear low-signal-intensity structure -the dura mater

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“…Ce caractère brutal, quasi pathognomonique, doit faire évoquer le diagnostic en dehors de toute investigation neuroradiologique. L'IRM demeure actuellement l'examen de choix pour le diagnostic neuroradiologique de l'hématome extradural cervical [5,8]. Il apparaît en hyposignal par rapport à la moelle à T1 et en hypersignal à T2.…”

Section: Discussionunclassified

Un cas d’hematome extradural cervical non traumatique

N'Da¹,

Kakou²,

Drogba³

et al. 2010

African Journal of Neurological Sciences

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RESUMEL'hématome extradural cervical spontané est une pathologie rare mais une sévère cause de compression médullaire. Il requiert un diagnostic et une prise en charge urgents. Nous en rapportons un cas chez une patiente de 20 ans sans antécédent pathologique, révélé par un syndrome de compression médullaire cervical sévère (grade A de Frankel). Une décompression neurochirurgicale est intervenue avec un délai de 48H avec comme corollaire de lourdes séquelles. Les auteurs insistent sur l'intérêt d'un diagnostic et d'une prise en charge précoces pour en minimiser les séquelles neurologiques. SUMMARYSpontaneous cervical extradural hematoma is a rare pathology but a severe spinal cord compression cause.We report a case revealed by a severe spinal cord compression (Frankel rank A) in a 20 old female patient without past medical history. A neurosurgical decompression has been performed 48 hours later which result of important after-effects. The authors insist for the early diagnostic and treatment to minimize neurological deficits.

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Spontaneous spinal extradural hematomas

Cited by 12 publications

References 16 publications

Spontaneous spinal epidural hematoma

Spontaneous spinal epidural hematoma

Clinics in diagnostic imaging (150)

Un cas d’hematome extradural cervical non traumatique

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