Korean J Spine.  2010 Sep;7(3):202-205.

Rapid Spontaneous Resolution of Idiopathic Cervico-thoracic Ventral Epidural Hematoma

Affiliations
  • 1Department of Neurosurgery, Yonsei University College of Medicine, Gangnam Severance Hospital, The Spine and Spinal Cord Institute, Seoul, Korea. yecho@yuhs.ac

Abstract

Spontaneous spinal epidural hematoma (SSEH) has been rarely reported in the literature. Prompt surgical intervention is recommended for patients with neurologic deficit. However. in rare cases, spontaneous resolution of the SSEH with recovery of the neurological deficit has also been reported. We report a case of SSEH in a 55-year-old woman with a rapidly progressing neurological deficit. Her neurological deficits gradually improved sponta- neously during preoperative evaluation. Serial magnetic resonance imaging(MRI) demonstrated disappearance of the hematoma. Since her neurological status improved within a few hours, we recommended conservative care. Patients initially presenting with severe neurologic dysfunction are potential candidates for conservative management if they demonstrate rapid and progressive improvement in neurologic function. Thus, immediate surgical decompression may not be necessary if neuroimaging and clinical examinations suggest that spinal epidural hematoma will spontaneously resolve.

Keyword

Spontaneous resolution; Spontaneous spinal epidural hematoma; Ventral hematoma; Cervical hematoma

MeSH Terms

Decompression, Surgical
Female
Hematoma
Hematoma, Epidural, Spinal
Humans
Magnetic Resonance Spectroscopy
Middle Aged
Neuroimaging
Neurologic Manifestations
Full Text Links
  • KJS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error