J Korean Neurosurg Soc.
2011 Apr;49(4):231-233. 10.3340/jkns.2011.49.4.231.
Chronic Spinal Epidural Hematoma Related to Kummell's Disease
- Affiliations
-
- 1Department of Neurosurguery, Heori Sarang Hospital, Daejeon, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University, Gwangju, Korea.
- 3Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. ns64902@hanmail.net
- KMID: 1442594
- DOI: http://doi.org/10.3340/jkns.2011.49.4.231
Abstract
- Chronic spinal epidural hematoma related to Kummell's disease is extremely rare. An 82-year-old woman who had been managed conservatively for seven weeks with the diagnosis of a multi-level osteoporotic compression fracture was transferred to our institute. Lumbar spine magnetic resonance images revealed vertebral body collapse with the formation of a cavitary lesion at L1, and a chronic spinal epidural hematoma extending from L1 to L3. Because of intractable back pain, a percutaneous vertebroplasty was performed. The pain improved dramatically and follow-up magnetic resonance imaging obtained three days after the procedure showed a nearly complete resolution of the hematoma. Here, we present the rare case of a chronic spinal epidural hematoma associated with Kummell's disease and discuss the possible mechanism.
