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Related Concept Videos

Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

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Related Experiment Video

Updated: Jun 25, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

[Spontaneous spinal epidural hematoma. A case report].

Cándida Alcocer Navarrete1, Marco Antonio Téllez Ramírez

  • 1Hospital General Raymundo Abarca Alarcón, Chilpancingo, Guerrero.

Acta Ortopedica Mexicana
|February 21, 2009
PubMed
Summary

Spontaneous spinal epidural hematoma (SSEH) is rare. This case highlights successful surgical decompression for thoracolumbar SSEH in a woman, leading to full recovery without a clear cause.

Area of Science:

  • Neurosurgery
  • Neurology
  • Spinal Cord Medicine

Background:

  • Spontaneous spinal epidural hematoma (SSEH) is an uncommon condition.
  • It can lead to significant neurological deficits if not treated promptly.

Observation:

  • A 69-year-old woman presented with thoracolumbar SSEH in 2005.
  • The cause of the SSEH was not identifiable.

Findings:

  • The patient underwent surgical decompressive treatment.
  • She experienced a complete recovery (ad integrum).

Implications:

  • This case underscores the importance of timely surgical intervention for SSEH.
  • It highlights the potential for full recovery even without an identified etiology.

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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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