Spontaneous Spinal Epidural Hematoma of the Thoracic Spine in Young Adult - A Case Report (젊은 성인에서 발생한 자발성 흉추 경막외 혈종 - 증례 보고 -)

정순택; 김동희; 조세현; Dae-Cheol Nam, (남대철)

Spontaneous Spinal Epidural Hematoma of the Thoracic Spine in Young Adult - A Case Report

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2008, 15(3), pp.194-198
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

정순택 ¹, 김동희 ¹, 조세현 ¹, Dae-Cheol Nam, ²

¹경상대학교
²경상대 의대

Candidate

ABSTRACT

A spontaneous spinal epidural hematoma (SSEH) of the thoracic spine is a rare space-occupying disease that accompanied with severe axial pain in the spine. Because there is the possibility of a significant neurological injury such as paraplegia, SSEH requires careful diagnosis and management. A SSEH is mainly caused by a coagulating disorder or anticoagulant medication, while certain cases have shown that this disease is related with spinal inflammatory conditions. A SSEH tends to occur in patients who have risk factors for hemorrhage. However, the incidence of SSEH is quite low, and there are few domestic reports of a SSEH in young adults who are without the risk factors for hemorrhage. We encountered a 25 years old young male without a prior significant medical history and he was suffering from severe back pain and paraplegia due to a SSEH at the thoracic spine. The early diagnosis was made via MRI. We report here on a favorable clinical outcome that was achieved with immediate operative treatment, and we include a review of the relevant literature.

KEYWORDS

Spontaneous spinal epidural hematoma (SSEH), Thoracic spine, Young adult, Operative treatment

Citation status

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[journal] Balkan C / 2006 / Spinal epidural haematoma in a patient with haemophilia B / Haemophilia 12 : 437~440

[journal] Park HJ / 2004 / Spontaneous thoracic spinal epidural hematoma after use of anticoagulant / J Korean Spine Surg 11 : 125~129

[journal] Yun HK / 1998 / Thoracolumbar epidural hematoma complicated by cauda equina syndrome: Complication of systemic heparinization following epidural anesthesia: A case report / J Korean Orthop Assoc 33 : 1120~1125

[journal] 이정섭 / 2005 / Spontaneous Lumbar Spinal Epidural Hematoma without Rist Factors - A Case Report - / 대한정형외과학회지 / 대한정형외과학회 40(7) : 1013~1016

[journal] Shin SJ / 2006 / Surgical management of spontaneous spinal epidural hematoma / Eur Spine J 15 : 998~1004

[journal] Bo¨rm W / 2004 / Hassepass U, Richter HP, Kast E: Spinal hematoma unrelated to previous surgery: Analysis of 15 consecutive cases treated in a single institution within a 10-year period / Spine 29 : 555~561

[journal] Ravi D / 2006 / Venkataramana NK: Spontaneous spinal extradural hematoma / J Clin Neurosci 13 : 269~272

[journal] Tsai FY / 1975 / Spontaneous spinal epidural hematoma / Neuroradiology 10 : 15~30

[journal] Betty RM / 1984 / Spontaneous cervical epidural hematoma. A consideration of etiology / J Neurology 61 : 143~148

[journal] Ravid S / 2002 / Spontaneous spinal epidural hematoma: an uncommon presentation of a raredisease / Childs Nerv Syst 18 : 345~347

[journal] Lovblad KO / 1997 / Nontraumatic spinal epidural hematomas, MR features / Acta Radiol 38 : 8~13

[journal] Foo D / 1981 / Preoperative neurological status in predicting surgical outcome of spinal epidural hematoma / Surg Neurol 15 : 389~401

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