[Intraspinal epidural hematomas. Treatment and prognosis]

The results of treatment in 26 patients with spinal epidural haematoma are analysed in respect of pre-operative factors related to prognosis. The material consists of the two patients treated at Haukeland Hospital since 1980 and 24 patients described in the literature over the same period. This condition affects people of all ages. It should be suspected in cases of sudden excruciating spinal pain and progressive paraparesis. Factors with a poor prognosis were a haematoma covering many spinal levels and having a thoracic localization. To a lesser extent, a greater degree of preoperative neurological deficit and a longer duration from symptom debut to operation had a negative effect on prognosis. These patients require speedy diagnosis before total paralysis is established. They should be operated as soon as possible.