J Korean Soc Traumatol.  2016 Dec;29(4):176-179. 10.20408/jti.2016.29.4.176.

Delayed Posttraumatic Spinal Epidural Hematoma: Importance of Early Surgical Treatment for Neurologic Deficits

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Daegu, Korea. ldhms@naver.com
  • 2Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
  • 3Department of Surgery, Kyungpook National University Hospital, Daegu, Korea.

Abstract

Delayed posttraumatic spinal epidural hematoma is an extremely rare disease, and it remains a challenge for surgical teams of trauma centers. Magnetic resonance imaging is an essential tool for early diagnosis, and emergent evacuation of the hematoma is the best choice of treatment. We report the case of a 33-year old man with posttraumatic epidural hematoma in the thoracic spine (T10 and T11 levels), who developed an abrupt-onset paraplegia 5 days after the trauma.

Keyword

Trauma; Spinal cord; Paraplegia

MeSH Terms

Early Diagnosis
Hematoma
Hematoma, Epidural, Spinal*
Magnetic Resonance Imaging
Neurologic Manifestations*
Paraplegia
Rare Diseases
Spinal Cord
Spine
Trauma Centers
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