Öz
Introduction: Spontaneous spinal epidural hematoma (SSEH) is a rare disease. Typical symptoms develop chest and back pain, numbness, radicular paresthesis, sensory deprivation and progressive paralysis. SSEH sometimes mimics other diseases like stroke, lung pathologies, myocard infarctus (MI). This situation makes it difficult to treat this pathology. Case Report: We presented a case with epidural hematoma which compressing the spinal cord at the T2-4 level. He had applied to our emergency service with acute severe chest pain and numbness. He was given clopydogrel, acetylsalicylic acid for the medical treatment of MI by the cardiologist. Therefore, progressive paralysis of lower limbs, incontinence and sensory deprivation were developed. Laminectomy and hematoma evacuation were performed. After phisical therapy, he had a complete neurological recovery on the postoperative day 14.
Coclusion: SSEH should be kept in mind and early surgical treatment should be performed if neurological deterioration develops.
Anahtar Kelimeler
Chest pain myocardial ischemia spinal epidural hematoma emergency
Kaynakça
- 1. Dimou J, Jithoo R, Morokoff A: Spontaneous spinal epidural haematoma in a geriatric patient on aspirin. J Clin Neurosci 17: 142–4, 2010.doi:10.1016/j.jocn.2009.03.021.
- 2. Foo D, Rossier AB: Preoperative neurological status in predicting surgical outcome of spinal epidural hematomas. Surg Neurol 15: 389-401, 1981.doi:10.1016/0090-3019(81)90178-6.
- 3. Ishida A, Matsuo S, Niimura K, Yoshimoto H, Shiramizu H, Hori T: Cervical spontaneous spinal epidural hematoma with internal jugular vein thrombosis. J Neurosurg Spine 15: 187-9,2011.doi:10.3171/2011.3.SPINE10673.
- 4. Kim T, Lee CH, Hyun SJ, Yoon SH, Kim KJ, Kim HJ: Clinical Outcomes of Spontaneous Spinal Epidural Hematoma: A Comparative Study between Conservative and Surgical Treatment. J Korean Neurosurg Soc 52: 523-7, 2012. doi:10.3340/jkns.2012.52.6.523.
- 5. Hentschel SJ, Woolfenden AR, Fairholm DJ: Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases. Spine 26: 525-7, 2001.doi:10.1097/00007632-200111150-00025.
- 6. Narberhaus B, Rivas I, Vilalta J, Abos J, Ugarte A: Transient Brown-Sequard syndrome due to spontaneous spinal epidural hematoma [in Spanish]. Neurologia 17: 384–7, 2002.PMID:12236959.
- 7. Anderson TJ, Donaldson IM: Spontaneous resolution of cervical spinal epidural haematoma. Postgrad Med J 65: 488–90, 1989.doi:10.1136/pgmj.65.765.488.
- 8. Groen RJ: Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases. Acta Neurochir 146: 103-10, 2004.doi:10.1007/s00701-003-0160-9.
- 9. Groen RJM, Van Alphen HA: Operative treatment of spontaneous spinal epidural hematomas: a study of the factors determining postoperative outcome. Neurosurgery 39:494–509,1996.doi:10.1097/00006123-199609000-00012.
- 10. Sakaguchi K, Tokuda Y. Left shoulder pain in patients with old myocardial infarction could be a neuropathic pain from spinal epidural haematoma. BMJ Case Rep 2018 Aug 23. doi:10.1136/bcr-2018-226159.
Öz
Kaynakça
- 1. Dimou J, Jithoo R, Morokoff A: Spontaneous spinal epidural haematoma in a geriatric patient on aspirin. J Clin Neurosci 17: 142–4, 2010.doi:10.1016/j.jocn.2009.03.021.
- 2. Foo D, Rossier AB: Preoperative neurological status in predicting surgical outcome of spinal epidural hematomas. Surg Neurol 15: 389-401, 1981.doi:10.1016/0090-3019(81)90178-6.
- 3. Ishida A, Matsuo S, Niimura K, Yoshimoto H, Shiramizu H, Hori T: Cervical spontaneous spinal epidural hematoma with internal jugular vein thrombosis. J Neurosurg Spine 15: 187-9,2011.doi:10.3171/2011.3.SPINE10673.
- 4. Kim T, Lee CH, Hyun SJ, Yoon SH, Kim KJ, Kim HJ: Clinical Outcomes of Spontaneous Spinal Epidural Hematoma: A Comparative Study between Conservative and Surgical Treatment. J Korean Neurosurg Soc 52: 523-7, 2012. doi:10.3340/jkns.2012.52.6.523.
- 5. Hentschel SJ, Woolfenden AR, Fairholm DJ: Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases. Spine 26: 525-7, 2001.doi:10.1097/00007632-200111150-00025.
- 6. Narberhaus B, Rivas I, Vilalta J, Abos J, Ugarte A: Transient Brown-Sequard syndrome due to spontaneous spinal epidural hematoma [in Spanish]. Neurologia 17: 384–7, 2002.PMID:12236959.
- 7. Anderson TJ, Donaldson IM: Spontaneous resolution of cervical spinal epidural haematoma. Postgrad Med J 65: 488–90, 1989.doi:10.1136/pgmj.65.765.488.
- 8. Groen RJ: Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases. Acta Neurochir 146: 103-10, 2004.doi:10.1007/s00701-003-0160-9.
- 9. Groen RJM, Van Alphen HA: Operative treatment of spontaneous spinal epidural hematomas: a study of the factors determining postoperative outcome. Neurosurgery 39:494–509,1996.doi:10.1097/00006123-199609000-00012.
- 10. Sakaguchi K, Tokuda Y. Left shoulder pain in patients with old myocardial infarction could be a neuropathic pain from spinal epidural haematoma. BMJ Case Rep 2018 Aug 23. doi:10.1136/bcr-2018-226159.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Case Report |
| Yazarlar | |
| Erken Görünüm Tarihi | 22 Haziran 2022 |
| Yayımlanma Tarihi | 23 Haziran 2022 |
| Gönderilme Tarihi | 30 Aralık 2021 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 13 Sayı: 2 |
