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. sunnyrhee@paik.ac.kr |
|
Abstract |
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 |
|