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Conservative treatment of acute spontaneous spinal epidural hematoma
1Department of Clinical Neurological Sciences, London Health Sciences Centre, University of Western Ontario, London, Canada.
Background:
In cases of acute spontaneous epidural hematoma producing neurological deficits, emergency surgical evacuation is the standard treatment.
Methods:
Such a case is presented in which complete resolution of neurological deficits occurred without surgical intervention.
Results:
This is the fifth reported case of complete recovery in a patient managed conservatively. In most reports, significant and sustained neurological recovery had occurred with 12 hours of impairment of walking.
Conclusion:
In cases of acute spontaneous spiral epidural hematoma in which neurological deterioration is followed by early and sustained recovery, non-operative therapy may be considered.