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Spontaneous spinal epidural haematoma.
Tao Lan1, Yang Chen1, Xin-Jian Yang1
1Department of Orthopaedics, Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Journal of Orthopaedic Translation
|July 24, 2018
Summary
Spontaneous spinal epidural hematoma (SSEH) is rare but can cause severe neurological deficits. Prompt surgical decompression of SSEH in patients with neurological impairment is recommended for optimal recovery.
Area of Science:
- Neurology
- Neurosurgery
- Spinal Cord Medicine
Background:
- Spontaneous spinal epidural hematoma (SSEH) is a rare condition with an unknown cause.
- SSEH can lead to permanent neurological deficits if not treated promptly.
- Complete quadriplegia and hypoesthesia are severe presenting symptoms.
Purpose of the Study:
- To describe a case of SSEH presenting with complete quadriplegia.
- To highlight the importance of prompt surgical intervention for SSEH.
- To provide a reference for orthopedic clinics regarding SSEH management.
Main Methods:
- Case report of a 48-year-old male patient with SSEH.
- Diagnosis confirmed via magnetic resonance imaging (MRI) showing cervical cord compression.
- Surgical decompression and hematoma evacuation performed within 12 hours of admission.
Main Results:
- The patient presented with complete quadriplegia and hypoesthesia.
- MRI revealed a posterior cervical spinal cord hematoma.
- Post-operative recovery of motor and sensory functions was rapid.
Conclusions:
- Early surgical decompression is crucial for patients with SSEH and neurological impairment.
- Prompt intervention can lead to significant neurological recovery.
- This case serves as a valuable reference for managing SSEH in clinical practice.
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