Spontaneous Spinal Epidural Hematoma. |
Park, Gi young , Kim, Jong min |
Department of Rehabilitation Medicine, Dongsan Medical Center, Keimyung University College of Medicine, Korea. dawoon@taegu.md |
자발성 척수 경막외 혈종 증례보고 |
박기영, 김종민 |
계명대학교 의과대학 재활의학교실 |
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Abstract |
The spontaneous spinal epidural hematoma is rare, but the severe and permanent motor disability underlines its importance. The clinical picture begins with a local spinal and radicular pain but some hours or days later progressive neurologic symptoms develop. The standard treatment for spinal epidural hematoma has been a prompt surgical evacuation. We reported two cases of spontaneous spinal epidural hematoma which had no underlining conditions. The neurological deficit progressed to complete paraplegia despite of an early operation in one case of hematoma located in T2,3 level, whereas another case in T10 to L2 level showed complete paraplegia at the initial evaluation but good functional recovery after the operation. The outcomes seemed to be dependent mainly on the location of hematoma in the spinal cord. So early diagnosis and prompt surgical treatment are critical to the patient with hematoma located in the upper thoracic level and progressive neurological deficit. (J Korean Acad Rehab Med 2003; 27: 451-454) |
Key Words:
Spontaneous spinal epidural hematoma, Paraplegia |
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