Spontaneous spinal epidural hematoma: a case report.

Autor: Sheng OC; Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Foundation, Tzu Chi University, Hualien, Taiwan., Wu RC; Department of Emergency Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Foundation, Hualien, Taiwan.; Program in Pharmacology and Toxicology, Tzu Chi University, 970, Hualien, Taiwan., Chang IH; Department of Emergency Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Foundation, Hualien, Taiwan. iris-od@hotmail.com.
Jazyk: angličtina
Zdroj: International journal of emergency medicine [Int J Emerg Med] 2021 Sep 25; Vol. 14 (1), pp. 60. Date of Electronic Publication: 2021 Sep 25.
DOI: 10.1186/s12245-021-00379-0
Abstrakt: Background: Spinal epidural hematomas usually occur under certain conditions; they rarely occur spontaneously. The prevalence of spontaneous spinal epidural hematoma is ~ 0.1 per 100,000, and the male-to-female ratio is approximately 1.4 to 1. Herein, we describe a rare case of spontaneous spinal epidural hematoma.
Case Presentation: A 63-year-old Taiwanese woman, with underlying hypertension, anemia, and a history of cardiovascular accident without sequela, was admitted to our emergency department with a chief complaint of sudden bilateral weakness in the lower limbs. Magnetic resonance imaging revealed a spontaneous epidural hematoma. The patient underwent emergency surgery to remove the epidural hematoma and laminectomy for decompression. The bilateral lower limb weakness was alleviated immediately after the surgery.
Conclusion: In patients with no risk factors related to spinal epidural hematoma, symptoms of bilateral lower limb weakness must be investigated carefully because this condition may occur spontaneously.
(© 2021. The Author(s).)
Databáze: MEDLINE
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