Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young person
Spontaneous spinal epidural hematoma (SSEH) is a rare condition with an incidence of 0.1 in 100,000 population. These are usually seen in the lumbar region in patients above 40 years and in the cervical and dorsal spine in younger patients. Posterior or dorsal epidural hematomas are more common than...
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Wolters Kluwer Medknow Publications
2021-01-01
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doaj-60e98ba07b9c477e885ac87b80fa1add2021-06-02T07:32:04ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872021-01-014114214510.4103/ISJ.ISJ_18_19Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young personPavan Pralobh JogaPramod Philip NittalaAnindita MishraVinay NyapathySpontaneous spinal epidural hematoma (SSEH) is a rare condition with an incidence of 0.1 in 100,000 population. These are usually seen in the lumbar region in patients above 40 years and in the cervical and dorsal spine in younger patients. Posterior or dorsal epidural hematomas are more common than ventral hematomas. Patients present with sharp pain in the neck or back with or without neurological deficit. We present a case of a 20-year-old male who presented with quadriparesis and bowel and bladder incontinence for 5 days. No history of trauma or other aggravating factors were present. Magnetic resonance imaging revealed a posterior epidural hematoma with cord compression and edema. Patient underwent surgery and hematoma was evacuated. Patient symptoms improved gradually. Because of the severe preoperative neurological deficit and delay in surgery, patient had mild residual neurological deficit in the early post op period, which resolved over a period of two monthshttp://www.isjonline.com/article.asp?issn=2589-5079;year=2021;volume=4;issue=1;spage=142;epage=145;aulast=Jogacord compressionlaminectomymriquadriparesisspontaneous spinal epidural hematoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pavan Pralobh Joga Pramod Philip Nittala Anindita Mishra Vinay Nyapathy |
spellingShingle |
Pavan Pralobh Joga Pramod Philip Nittala Anindita Mishra Vinay Nyapathy Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young person Indian Spine Journal cord compression laminectomy mri quadriparesis spontaneous spinal epidural hematoma |
author_facet |
Pavan Pralobh Joga Pramod Philip Nittala Anindita Mishra Vinay Nyapathy |
author_sort |
Pavan Pralobh Joga |
title |
Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young person |
title_short |
Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young person |
title_full |
Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young person |
title_fullStr |
Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young person |
title_full_unstemmed |
Spontaneous spinal epidural hematoma: A rare cause of quadriparesis in a young person |
title_sort |
spontaneous spinal epidural hematoma: a rare cause of quadriparesis in a young person |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Spine Journal |
issn |
2589-5079 2589-5087 |
publishDate |
2021-01-01 |
description |
Spontaneous spinal epidural hematoma (SSEH) is a rare condition with an incidence of 0.1 in 100,000 population. These are usually seen in the lumbar region in patients above 40 years and in the cervical and dorsal spine in younger patients. Posterior or dorsal epidural hematomas are more common than ventral hematomas. Patients present with sharp pain in the neck or back with or without neurological deficit. We present a case of a 20-year-old male who presented with quadriparesis and bowel and bladder incontinence for 5 days. No history of trauma or other aggravating factors were present. Magnetic resonance imaging revealed a posterior epidural hematoma with cord compression and edema. Patient underwent surgery and hematoma was evacuated. Patient symptoms improved gradually. Because of the severe preoperative neurological deficit and delay in surgery, patient had mild residual neurological deficit in the early post op period, which resolved over a period of two months |
topic |
cord compression laminectomy mri quadriparesis spontaneous spinal epidural hematoma |
url |
http://www.isjonline.com/article.asp?issn=2589-5079;year=2021;volume=4;issue=1;spage=142;epage=145;aulast=Joga |
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1721406929162469376 |