J Korean Soc Emerg Med.
2000 Jun;11(2):248-254.
Acute Spontaneous Spinal Epidural Hemorrhage
- Affiliations
-
- 1Department of Emergency Medicine, Seongkyungwan University School of Medicine, Korea.
- 2Department of Emergency Medicine, Asan Foundation Kangnung Hospital, Korea. olivertwistkang@hot.mail.com
Abstract
- Spontaneous spinal epidural hemorrhage(SSEH) represent 0.3%~0.9% of spinal epidural-space-occupying lesions. The therapeutic outcome seems to be determined by the accuracy of the diagnosis and by the time interval between the onset of symptom and surgical decompression. Thus, SSEH is a rare spinal emergency and a diagnostic challenge. We experienced two such cases. In one case, the symptoms were confused with those for a ureter stone, aortic aneurysm, spinal cord infarction. That patient completely recovered spontaneously within 2 hours. In the other case, which was initially diagnosed incorrectly as a cerebral infarction, surgical decompression was performed. That patient recovered completely within 1 month.
