Anesth Pain Med.  2012 Jul;7(3):213-216.

Acute spontaneous spinal epidural hematoma: A report of two cases

• Seok JH
• Jeon JW
• Lim YH
• Woo SH
• Lee WY

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.

Keyword

Antiplatelet agent; Spinal apoplexy; Spontaneous spinal epidural hematoma

MeSH Terms

Anticoagulants
Decompression
Early Diagnosis
Hematoma
Hematoma, Epidural, Spinal
Laminectomy
Neurologic Manifestations
Paralysis
Polymethacrylic Acids
Rare Diseases
Spine
Anticoagulants
Polymethacrylic Acids