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Spinal epidural hematoma associated with Paget's disease
K S Lee1, J M McWhorter, J N Angelo
1Department of Surgery, Wake Forest University Medical Center, Winston-Salem, North Carolina 27103.
Surgical Neurology
|August 1, 1988
Summary
This study reports the first known case of spinal hemorrhage in a patient with Paget's disease of bone. The patient developed a subacute epidural hematoma in the lumbar spine.
Area of Science:
- Orthopedics
- Neurology
- Pathology
Background:
- Paget's disease of bone is characterized by increased skeletal blood flow.
- Spinal manifestations of Paget's disease are typically related to bone deformity or vascular changes.
Observation:
- A patient with Paget's disease of bone presented with symptoms suggestive of spinal cord compression.
- Imaging revealed a subacute epidural hematoma in the lumbar spine.
Findings:
- This is the first reported instance of spinal hemorrhage occurring in association with Paget's disease of bone.
- The epidural hematoma was located in the lumbar region.
Implications:
- This case expands the spectrum of potential spinal complications in Paget's disease of bone.
- Highlights the importance of considering hemorrhage as a rare complication, even without prior reports.
- Suggests that altered vascularity in Paget's disease may predispose to bleeding events in the spine.