Traumatic Spinal Epidural Hematoma with Neurological Deficit

Authors

  • Sema Avcı Emergency Department, Kars Harakani State Hospital, Kars 36200, Turkey
  • Muhammet Taha Eser Department of Neurosurgery, Dışkapı Research and Training Hospital, Ankara, Turkey

DOI:

https://doi.org/10.17140/EMOJ-3-139

Keywords:

Trauma, Spinal epidural hematoma (SEH)

Abstract

Blood collection in epidural and subdural areas is known as spinal subdural and epidural hematoma. The incidence of spinal epidural hematoma (SEH) is roughly 0.1 per 100.000 per year. These hematomas that can cause mechanical pressure are usually seen in lumbar and thoracic areas in the spinal cord. Spinal epidural hematoma is an unusual and acute clinically significant event. Hemorrhagic diathesis, spinal trauma, lifting, coughing and anticoagulant treatment are known as the common causes of spinal epidural and subdural hematomas. Spinal epidural hematomas could be present paralysis of the lower extremity, cauda equina syndrome, local orradicular backpain in regard to location of spinal blood collection but sometimes asymptomatic cases could be seen. A 64-year-old woman was admitted to emergency department after falling from a motor vehicle. The aim of this case report is to present a post-traumatic lumbar epidural hematomas.

References

Albayrak S, Atcı IB, Ayden O, Durdağ E. Spontaneous regres-sion of traumatic lumbar epidural hematomas. Am J Case Rep. 2012; 13: 258-261. doi: 10.12659/AJCR.883520

Jian-Xiong A, Qi-Wu F, Sullivan EA, Williams JP. Spine sur-gery may cause more spinal epidural hematomas than spinal puncture. Chin Med J (Engl). 2013; 126(2): 286-289.

Cha JR, Park KB, Ko SH. Post-traumatic lumbar epidural he-matoma with neurology: Report of 1 case. Asian Spine J. 2011; 5(2): 130-132. doi: 10.4184/asj.2011.5.2.130

Spackey J, Nemeth A. Traumatic spinal epidural hematoma. Orthopedics. 2008; 31(2): 186-188.

Wahjoepramono EJ. Subacute traumatic spinal epidural he-matoma: Case report. J Kedokter Trisakti. 2004; 23: 2.

Downloads

Published

2017-09-05

How to Cite

Sema Avcı, & Muhammet Taha Eser. (2017). Traumatic Spinal Epidural Hematoma with Neurological Deficit. Emergency Medicine, 3(2), 42–43. https://doi.org/10.17140/EMOJ-3-139