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Delayed Posttraumatic Spinal Epidural Hematoma: Importance of Early Surgical Treatment for Neurologic Deficits

  • Lee, Deok Heon (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Oh, Tak-Hyuk (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Lee, Jong-Chul (Department of Orthopedic Surgery, Kyungpook National University Hospital) ;
  • Lim, Kyoung Hoon (Department of Surgery, Kyungpook National University Hospital)
  • Received : 2016.11.14
  • Accepted : 2016.12.30
  • Published : 2016.12.31

Abstract

Delayed posttraumatic spinal epidural hematoma is an extremely rare disease, and it remains a challenge for surgical teams of trauma centers. Magnetic resonance imaging is an essential tool for early diagnosis, and emergent evacuation of the hematoma is the best choice of treatment. We report the case of a 33-year old man with posttraumatic epidural hematoma in the thoracic spine (T10 and T11 levels), who developed an abrupt-onset paraplegia 5 days after the trauma.

Keywords

References

  1. Lawton MT, Porter RW, Heiserman JE, Jacobowitz R, Sonntag VK, Dickman CA. Surgical management of spinal epidural hematoma: relationship between surgical timing and neurological outcome. Journal of neurosurgery 1995; 83: 1-7. https://doi.org/10.3171/jns.1995.83.1.0001
  2. Foo D, Rossier AB. Post-traumatic spinal epidural hematoma. Neurosurgery 1982; 11: 25-32. https://doi.org/10.1227/00006123-198207010-00006
  3. Lefranc F, David P, Brotchi J, De Witte O. Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report. Neurosurgery 1999; 44: 408-10; discussion 10-1.
  4. Cuenca PJ, Tulley EB, Devita D, Stone A. Delayed traumatic spinal epidural hematoma with spontaneous resolution of symptoms. J Emerg Med 2004; 27: 37-41. https://doi.org/10.1016/j.jemermed.2004.02.008
  5. Beatty RM, Winston KR. Spontaneous cervical epidural hematoma. A consideration of etiology. J Neurosurg 1984; 61: 143-8. https://doi.org/10.3171/jns.1984.61.1.0143
  6. Hsieh CT, Chiang YH, Tang CT, Sun JM, Ju DT. Delayed traumatic thoracic spinal epidural hematoma: a case report and literature review. Am J Emerg Med 2007; 25: 69-71. https://doi.org/10.1016/j.ajem.2006.05.033
  7. Rodrigues LM, Abreu F, Fujiki EN, Milani C. Delayed traumatic spinal epidural hematoma with neurological deficits. Einstein (Sao Paulo) 2010; 8: 477-9. https://doi.org/10.1590/s1679-45082010rc1748
  8. Kaur K, Singh R, Prasath V, Magu S, Tanwar M. Computed tomographic-based morphometric study of thoracic spine and its relevance to anaesthetic and spinal surgical procedures. J Clin Orthop Trauma 2016; 7: 101-8. https://doi.org/10.1016/j.jcot.2015.12.002