Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review

Spontaneous spinal epidural hematoma (SSEH) is a rare disease but may lead to life-threatening consequences if not timely diagnosed and managed. Emergent hematoma evacuation is indicated before neurological deficits become irreversible. We report two cases. The first case was a 45-year-old man broug...

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Autores principales:	Duc Duy Tri Tran, Quoc Bao Nguyen, Van Tri Truong, Thai Duong Truong, Dinh Thanh Phan, Thanh Minh Nguyen
Formato:	article
Lenguaje:	EN
Publicado:	Shahid Beheshti University of Medical Sciences 2021
Materias:	spinal epidural hematoma neurologic deficits myelopathy laminotomy Medicine R
Acceso en línea:	https://doaj.org/article/207c27cd72c94affb6edea002e9913ed
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spelling	oai:doaj.org-article:207c27cd72c94affb6edea002e9913ed2021-11-16T10:51:30ZSpontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review2383-18712383-209610.34172/icnj.2021.39https://doaj.org/article/207c27cd72c94affb6edea002e9913ed2021-10-01T00:00:00Zhttps://journals.sbmu.ac.ir/neuroscience/article/view/35465/27923https://doaj.org/toc/2383-1871https://doaj.org/toc/2383-2096Spontaneous spinal epidural hematoma (SSEH) is a rare disease but may lead to life-threatening consequences if not timely diagnosed and managed. Emergent hematoma evacuation is indicated before neurological deficits become irreversible. We report two cases. The first case was a 45-year-old man brought to hospital because of an acute onset of quadriparesis and urinary incontinence. His cervical magnetic resonance imaging (MRI) showed an epidural hematoma at the C5-C6 level with severe spinal cord compression. He underwent an emergency C5-C6 right hemi-laminotomy to remove the clot and decompress the cord. Postoperatively, his left-sided deficits immediately resolved. His urinary function returned to normal two weeks after the surgery. He could independently walk two months later. The second case was a 57-year-old man admitted to the hospital because of severe neck pain and paresthesia in both arms. He had been using an antiplatelet for two months. His MRI revealed an epidural hematoma from C2 to C4 with spinal cord compression on the right. This patient was successfully treated with conservative treatment. If SSEH is left undiagnosed and untreated, the neurological deficits may be permanent. Early emergent hematoma evacuation contributes to a favorable outcome. Conservative management is reasonable if neurological deficits are not severe.Duc Duy Tri TranQuoc Bao NguyenVan Tri TruongThai Duong TruongDinh Thanh PhanThanh Minh NguyenShahid Beheshti University of Medical Sciencesarticlespinal epidural hematomaneurologic deficitsmyelopathylaminotomyMedicineRENInternational Clinical Neuroscience Journal, Vol 8, Iss 4, Pp 198-204 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	spinal epidural hematoma neurologic deficits myelopathy laminotomy Medicine R
spellingShingle	spinal epidural hematoma neurologic deficits myelopathy laminotomy Medicine R Duc Duy Tri Tran Quoc Bao Nguyen Van Tri Truong Thai Duong Truong Dinh Thanh Phan Thanh Minh Nguyen Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review
description	Spontaneous spinal epidural hematoma (SSEH) is a rare disease but may lead to life-threatening consequences if not timely diagnosed and managed. Emergent hematoma evacuation is indicated before neurological deficits become irreversible. We report two cases. The first case was a 45-year-old man brought to hospital because of an acute onset of quadriparesis and urinary incontinence. His cervical magnetic resonance imaging (MRI) showed an epidural hematoma at the C5-C6 level with severe spinal cord compression. He underwent an emergency C5-C6 right hemi-laminotomy to remove the clot and decompress the cord. Postoperatively, his left-sided deficits immediately resolved. His urinary function returned to normal two weeks after the surgery. He could independently walk two months later. The second case was a 57-year-old man admitted to the hospital because of severe neck pain and paresthesia in both arms. He had been using an antiplatelet for two months. His MRI revealed an epidural hematoma from C2 to C4 with spinal cord compression on the right. This patient was successfully treated with conservative treatment. If SSEH is left undiagnosed and untreated, the neurological deficits may be permanent. Early emergent hematoma evacuation contributes to a favorable outcome. Conservative management is reasonable if neurological deficits are not severe.
format	article
author	Duc Duy Tri Tran Quoc Bao Nguyen Van Tri Truong Thai Duong Truong Dinh Thanh Phan Thanh Minh Nguyen
author_facet	Duc Duy Tri Tran Quoc Bao Nguyen Van Tri Truong Thai Duong Truong Dinh Thanh Phan Thanh Minh Nguyen
author_sort	Duc Duy Tri Tran
title	Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review
title_short	Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review
title_full	Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review
title_fullStr	Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review
title_full_unstemmed	Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review
title_sort	spontaneous spinal epidural hematoma: report of two cases and literature review
publisher	Shahid Beheshti University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/207c27cd72c94affb6edea002e9913ed
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Spontaneous Spinal Epidural Hematoma: Report of Two Cases and Literature Review

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