Asian Spine J.  2011 Jun;5(2):130-132. 10.4184/asj.2011.5.2.130.

Post-traumatic Lumbar Epidural Hematoma with Neurology: Report of 1 Case

• Cha JR
• Park KB
• Ko SH

• KMID: 1444946
• DOI: http://doi.org/10.4184/asj.2011.5.2.130

Abstract

The purpose of this study was to report a case with post-traumatic spinal epidural hematomas with abnormal neurologic findings, which is uncommon. A 40-year-old man presented at our clinic after a blunt trauma caused by a traffic accident in which he was a pedestrian. After admission, abnormal neurologic symptoms developed including loss of sensation and motor function in his left lower extremity. Magnetic resonance imaging demonstrated a spinal epidural hematoma with 40% canal stenosis at the L5-S1 level. Decompression including hematoma evacuation was done. Symptoms started to be reduced 18 days after operation. He was treated conservatively with medications and all symptoms resolved completely during admission and there were no further neurologic sequelae. Post-traumatic lumbar spinal epidural hematoma with abnormal neurologic findings is an uncommon condition that may present belatedly after trauma with significant neurologic compromise.

Keyword

Lumbar spine; Epidural hematoma; Neurology

MeSH Terms

Accidents, Traffic
Adult
Constriction, Pathologic
Decompression
Hematoma
Hematoma, Epidural, Spinal
Humans
Lower Extremity
Magnetic Resonance Imaging
Neurologic Manifestations
Neurology
Sensation