Chronic lumbar extradural haematoma simulating disc syndrome

Area of Science:

• Neurosurgery
• Spinal Surgery
• Neurology

Background:

• Nerve root compression symptoms often suggest herniated disc syndrome.
• Extradural hematomas in the lumbar spinal canal are rare but can present similarly.
• Anticoagulant therapy and minor trauma are potential contributing factors.

Purpose of the Study:

• To report two cases of chronic encapsulated extradural hematoma.
• To highlight the importance of recognizing this entity for surgical ease.
• To discuss the implications in patients on anticoagulants and after minor injury.

Main Methods:

• Case report of two patients with lumbar spinal canal masses.
• Clinical presentation, diagnostic imaging (implied), surgical intervention, and postoperative follow-up.

Main Results:

• Both patients presented with symptoms mimicking herniated disc syndrome.
• Diagnosis was confirmed as chronic encapsulated extradural hematoma.
• Surgical dissection was facilitated by early recognition.
• Excellent postoperative results were achieved in both cases.

Conclusions:

• Chronic encapsulated extradural hematoma is a treatable cause of nerve root compression.
• Recognition during surgery aids in simpler dissection and good outcomes.
• The condition can occur in patients on anticoagulants and after minor trauma, with good prognosis.