Spontaneous Spinal Epidural Hematoma: A casereport

Authors

Shiou-Ping Lin
Da-Tong Ju
Kao-Chung Tsai
Ming-Fu Hsieh

Translated Title

自發性脊髓硬膜外血腫：病例報告

Abstract

Spontaneous spinal epidural hematoma (SSEH) refers to a spinal epidural hematoma that is not secondary to trauma, incidental, and iatrogenic (such as lumbar puncture or spinal anesthesia). SSEH represents 0.3%-0.9% of spinal epidural space-occupying lesions. It is a rare spinal emergency, yet a diagnostic challenge. We reported a 21-year-old young male who was admitted with sudden weakness of bilateral lower limbs and difficulty in urination. The cervical epidural hematoma was noted by spinal magnetic resonance imaging examination. After emergency decompressive operation and postoperative rehabilitation, the patient had gradual improvement of neurological function, yet the presence of slight neurogenic bladder dysfunction. Early diagnosis and treatment are very important for patient's functional recovery. Because this disease is rare, we report this SSEH case to remind our medical colleage while managing neck or back pain patients.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2005.33(2)06

First Page

103

Last Page

110

Recommended Citation

Lin, Shiou-Ping; Ju, Da-Tong; Tsai, Kao-Chung; and Hsieh, Ming-Fu (2005) "Spontaneous Spinal Epidural Hematoma: A casereport," Rehabilitation Practice and Science: Vol. 33: Iss. 2, Article 6.
DOI: https://doi.org/10.6315/2005.33(2)06
Available at: https://rps.researchcommons.org/journal/vol33/iss2/6