Asian Spine J.
2014 Jun;8(3):361-364. 10.4184/asj.2014.8.3.361.
Whole Spontaneous Spinal Epidural Hematoma
- Affiliations
-
- 1Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Korea. spine1225@naver.com
- 2Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine, Cheonan, Korea.
- KMID: 2270357
- DOI: http://doi.org/10.4184/asj.2014.8.3.361
Abstract
- A 26-year-old male who had no underlying disease, including coagulopathy, underwent thoracotomy and bleeding control due to hemothorax. On the fifth postoperative day, paralysis of both lower limbs occurred. Urgent spine magnetic resonance imaging showed a massive anterior spinal epidural hematoma from C2 to L1 level with different signal intensities, which was suspected to be staged hemorrhage. Hematoma evacuation with decompressive laminectomy was performed. The patient's neurologic deterioration was recovered immediately, and he was discharged without neurological deficits. A drug history of naftazone, which could induce a drug-induced platelet dysfunction, was revealed retrospectively. To our knowledge, this is the first report of whole spontaneous spinal epidural hematoma in a young patient, with a history of hemorrhoid medication.
