Spontaneous Resolution of Paraparesis Because of Acute Spontaneous Thoracolumbar Epidural Hematoma

AUTHORS

M Gundag 1 , MH Seyithanoglu 1 , K Dogan 2 , * , S Kitis 1 , N Ozkan 1

1 Department of Neurosurgery, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey

2 Department of Neurosurgery, Ardahan State Hospital, Ardahan Devlet Hastanesi, Norosirurji Blm, 75000, [email protected], Turkey

How to Cite: Gundag M, Seyithanoglu M, Dogan K, Kitis S, Ozkan N. Spontaneous Resolution of Paraparesis Because of Acute Spontaneous Thoracolumbar Epidural Hematoma, Iran Red Crescent Med J. Online ahead of Print ; 14(1):45-48.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 14 (1); 45-48
Article Type: Case Report
Received: May 25, 2011
Accepted: September 17, 2011

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Abstract

Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered as an indication for emergent surgical decompression. We aimed to investigate a patient with a SSEH that completely resolved clinically and radiographically, without surgical treatment. The patient presented three days after the sudden onset of back pain, numbness, and weakness. Magnetic Resonance Imaging (MRI) revealed a posterior thoracolumbar epidural hematoma extending from the level of T10 to L2 with significant cord compression. Decompression was recommended but  he refused surgery and was managed conservatively. One month later, weakness totally recovered and hematoma was absent on MRI.

Keywords

Spinal epidural hematoma Cord compression Conservative therapy

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