Clinical feature and surgical treatment of spontaneous spinal epidural hematoma

被引:0
作者
Kimiwada, T
Takahashi, T
Shimizu, H
Tominaga, T
机构
[1] Kohnan Hosp, Dept Neurosurg, Taihaku Ku, Sendai, Miyagi 9828574, Japan
[2] Tohoku Univ, Grad Sch Med, Dept Neurosurg, Sendai, Miyagi 980, Japan
来源
NEUROLOGICAL SURGERY | 2004年 / 32卷 / 04期
关键词
MRI; spontaneous spinal epidural hematoma; surgery;
D O I
暂无
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
We presented 10 patients of spontaneous spinal epidural hematoma (SSEH) who were surgically treated between July 1996 and June 2003. One male and 9 female patients whose ages ranged from 16 to 75 years (mean age is 60) enrolled in this study. All cases initially presented with severe back and radicular pain followed by sensory and motor dysfunction. Sphincter dysfunction was observed in 8 patients. Although three cases were initially suspected as cardiovascular diseases and two as cerebral stroke, all cases were successfully diagnosed with magnetic resonance imaging studies. The hematoma was located at the dorsal cervical levels in 3 cases, the dorsal cervicothoracic in 1, the dorsal thoracic in 4, the ventral thoracic in 1, and the ventral lumbosacral in 1. After surgical evacuation of the hematoma, neurological dysfunctions improved in all patients. In particular, surgical decompression was performed within 36 hours after onset in 5 cases suffering severe neurological dysfunction according to the Frankel Grading System. To obtain good prognosis for patients with SSEH, early diagnosis and immediate treatment are important.
引用
收藏
页码:333 / 338
页数:6
相关论文
共 11 条
[1]   SPONTANEOUS CERVICAL EPIDURAL HEMATOMA - A CONSIDERATION OF ETIOLOGY [J].
BEATTY, RM ;
WINSTON, KR .
JOURNAL OF NEUROSURGERY, 1984, 61 (01) :143-148
[2]   SPONTANEOUS SPINAL EPIDURAL HEMATOMA CAUSING PARAPLEGIA - RESOLUTION AND RECOVERY WITHOUT SURGICAL DECOMPRESSION [J].
CLARKE, DB ;
BERTRAND, G ;
TAMPIERI, D .
NEUROSURGERY, 1992, 30 (01) :108-111
[3]   Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases [J].
Groen, RJM .
ACTA NEUROCHIRURGICA, 2004, 146 (02) :103-110
[4]   Operative treatment of spontaneous spinal epidural hematomas: A study of the factors determining postoperative outcome [J].
Groen, RJM ;
vanAlphen, HAM .
NEUROSURGERY, 1996, 39 (03) :494-508
[5]   THE SPONTANEOUS SPINAL EPIDURAL HEMATOMA - A STUDY OF THE ETIOLOGY [J].
GROEN, RJM ;
PONSSEN, H .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1990, 98 (2-3) :121-138
[6]  
Hentschel SJ, 2001, SPINE, V26, P525, DOI 10.1097/00007632-200111150-00025
[7]  
Jackson R, 1869, LANCET, V2, P538
[8]   ACUTE NON-TRAUMATIC SPINAL EPIDURAL HEMORRHAGE [J].
KAPLAN, LI ;
DENKER, PG .
AMERICAN JOURNAL OF SURGERY, 1949, 78 (03) :356-361
[9]   SURGICAL-MANAGEMENT OF SPINAL EPIDURAL HEMATOMA - RELATIONSHIP BETWEEN SURGICAL TIMING AND NEUROLOGICAL OUTCOME [J].
LAWTON, MT ;
PORTER, RW ;
HEISERMAN, JE ;
JACOBOWITZ, R ;
SONNTAG, VKH ;
DICKMAN, CA .
JOURNAL OF NEUROSURGERY, 1995, 83 (01) :1-7
[10]   SPINAL EPIDURAL HEMATOMA - REPORT OF A CASE AND REVIEW OF THE LITERATURE [J].
RAINOV, NG ;
HEIDECKE, V ;
BURKERT, WL .
NEUROSURGICAL REVIEW, 1995, 18 (01) :53-60