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Spinal Pain
Anesthesia and Pain Medicine 2012;7(3):213-216.
Published online July 31, 2012.
Acute spontaneous spinal epidural hematoma: A report of two cases
Jung Ho Seok, Jin Woo Jeon, Yun Hee Lim, Seung Hoon Woo, Woo Young Lee
Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Seoul, Korea.
A spontaneous spinal epidural hematoma (SSEH) is a rare disease that accompanies severe axial pain in the spine with various levels of paralysis depending on the location of the hematoma. A SSEH is mainly caused by a coagulating disorder or anticoagulants medication, while certain cases relate this disease with spinal inflammatory conditions. The early diagnosis of a SSEH is important for its treatment. Most cases with neurologic symptoms can be treated with an immediate laminectomy and decompression. If the neurologic symptom improves within 12 hours, a conservative treatment is effective; however few cases have been reported. We report this case with a review of the relevant literature.
Key Words: Antiplatelet agent, Spinal apoplexy, Spontaneous spinal epidural hematoma

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