1/24. Non-traumatic spinal extradural haematoma: magnetic resonance findings.Non-traumatic extradural spinal haematoma is an uncommon condition that is usually associated with a poor outcome. It may present acutely with signs and symptoms of major neurological dysfunction secondary to cord compression, or subacutely over a number of days or weeks with fluctuating symptoms. The exact aetiology of this condition is incompletely understood, but it is believed that the blood is venous in origin, as distinct from the arterial origin of intracranial extradural haematomas. Causes of non-traumatic extradural spinal haematoma include anticoagulation, vasculitis such as systemic lupus erythematosus (SLE), and spinal arteriovenous malformations. Conditions that may mimic an acute spinal haematoma include extradural abscess and extradural metastatic infiltration. It is important to make a diagnosis of extradural compression because surgery may offer the best hope in restoring neurological function in these patients. Imaging modalities used for the investigation of extradural haematomas include myelography, CT myelography (CTM) and MRI with or without gadolinium enhancement. The MR appearances of acute extradural abscess and extradural tumour can mimic an extradural haematoma. In subacute haematoma, owing to the magnetic properties of blood degradation products, MR is more specific in diagnosing and ageing of the haematoma.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/24. Acute spontaneous spinal epidural haematoma in a child.Spontaneous spinal epidural haematomas rarely occur. patients tend to be in their sixties or seventies. Acute spontaneous spinal epidural haematomas in children without a predisposition for bleeding disorders, trauma, vascular malformations or anticoagulant therapy have seldom been described. We present a case of a 4-year-old girl with a spontaneous cervical epidural haematoma diagnosed with MR.- - - - - - - - - - ranking = 0.58333333333333keywords = haematoma (Clic here for more details about this article) |
3/24. Spontaneous spinal epidural haematoma--an unusual cause of spinal cord compression.Spinal epidural haematoma is uncommon. Spontaneous spinal epidural haematoma of unknown aetiology is a rarity. This report is of two patients with spontaneous spinal epidural haematoma with different outcomes and discussion of the clinical picture and possible aetiology of this rare condition.- - - - - - - - - - ranking = 0.58333333333333keywords = haematoma (Clic here for more details about this article) |
4/24. A spinal haematoma occurring in the subarachnoid as well as in the subdural space in a patient treated with anticoagulants.A 75-year-old man on anticoagulant therapy suddenly experienced an excruciating back pain and subsequently developed a paraplegia. At operation a subarachnoid and a subdural haematoma were found, extending between the levels of the vertebrae T3 and L2. This extremely rare combination of haematomas may have been caused either by rupture of a small vessel in the arachnoid membrane or by rupture of the arachnoid membrane itself, secondary to a massive haemorrhage in the subarachnoid space.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
5/24. Spinal subdural haematoma: how relevant is the INR?STUDY DESIGN: Case report. OBJECTIVE: To report a rare cause of spinal cord compression. SETTING: University Hospital, wales, UK. CASE REPORT: A 67-year-old gentleman on oral anticoagulation for atrial fibrillation presented with a 4-h history of progressive loss of sensation and weakness in both legs; there was no history of trauma. On examination, he had a flaccid paraplegia with altered sensation in the L1,2,3 dermatomes and complete anaesthesia in the L4,5 distribution. knee and ankle jerk reflexes were absent, plantars were equivocal and anal sphincter tone was reduced. The patient's international normalized ratio (INR) was 4.1. An MR scan showed an extensive intradural haematoma compressing the cauda equina. The anticoagulation was reversed and an urgent T12-L2 laminectomy was performed; findings were a circumferential haematoma at L1 extending in the anterior canal between T10 and L3. The patient had an uneventful postoperative course generally, but at 1 week there was no neurological recovery. CONCLUSION: This case highlights that anticoagulation even when well controlled is not without risk. This is particularly of concern as the number of patients receiving long-term anticoagulation therapy has doubled between 1993 and 1998.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
6/24. Spinal shock in spontaneous cervical spinal epidural haematoma.A young man presented with quadriparesis and spinal shock because of a spontaneous cervical spinal epidural haematoma was reported. Immediate MRI diagnosis followed by emergency decompression with six hours of presentation resulted in complete recovery.- - - - - - - - - - ranking = 0.41666666666667keywords = haematoma (Clic here for more details about this article) |
7/24. Clinical course of spontaneous spinal epidural haematoma mimicking guillain-barre syndrome in a child: a case report and literature review.We describe a 9-year-old female with thoracic epidural haematoma. The clinical course simulated guillain-barre syndrome (GBS) so intravenous immunoglobulin therapy was started at the paediatric clinic. magnetic resonance imaging (MRI) 3 days after admission showed thoracic epidural haematoma between T2 and T8. An emergency laminectomy was performed and the patient's neurological symptoms began to improve immediately after surgery and she made a full recovery during the 2 weeks of follow-up. time is a very important factor in achieving reversibility of symptoms of compressive cord lesions, such as spinal epidural haematoma, and MRI is mandatory for patients with progressive paraplegia, even though the signs and symptoms might suggest GBS.- - - - - - - - - - ranking = 0.58333333333333keywords = haematoma (Clic here for more details about this article) |
8/24. Acute spontaneous spinal epidural haematoma with temporary resolution.A case of acute spontaneous spinal epidural haematoma is presented which underwent resolution of symptoms and signs before relapsing again hours later. Cases of spontaneous remission of this condition have been reported but not subsequent relapse. Conservative management of apparently resolving cases may therefore be inappropriate.- - - - - - - - - - ranking = 0.41666666666667keywords = haematoma (Clic here for more details about this article) |
9/24. Huge epidural hematoma after surgery for spinal cord stimulation.OBJECTIVE AND IMPORTANCE: Spinal epidural haematoma (SEH) following implantation of an epidural spinal cord electrode is a very rare complication but one that must not be overlooked. This case is unusual because of the almost "holocord" extension of the haematoma and the excellent recovery obtained by prompt surgical treatment. CLINICAL PRESENTATION: A 69 years old man with normal serum coagulation parameters was submitted to spinal cord stimulation (SCS) for chronic pain syndrome. After a minimal L1 laminotomy the patient developed paraplegia due to a large haematoma at D4-L2. INTERVENTION: Surgical removal of the entire clot by a D4-L2 laminectomy was performed immediately. CONCLUSION: Large epidural haematoma can result from SCS and this complication may be cured by appropriate and prompt surgery.- - - - - - - - - - ranking = 0.33333333333333keywords = haematoma (Clic here for more details about this article) |
10/24. Spinal epidural haematoma mimicking spontaneous subarachnoid haemorrhage.Spinal epidural haematoma is increasingly picked up using magnetic resonance imaging, especially following trauma. The presentation can be varied especially if there is a trivial history of trauma. Spontaneous subarachnoid haemorrhage can occur in spinal haematoma as a rare and unusual presentation and can be easily misdiagnosed. The key to early diagnosis is a strong suspicion and careful repeated neurological examination. We present an illustrative case.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
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