Spontaneous spinal epidural hematoma as the initial presentation of leukemia

被引:5
作者
Hidetoshi Nojiri
Sungdo Kim
Takaaki Tsuji
Soichi Uta
机构
[1] Saisei Hospital,Department of Orthopaedics
[2] Juntendo University,Department of Orthopaedics, Juntendo Tokyo Koto Geriatric Medical Center
来源
European Spine Journal | 2009年 / 18卷
关键词
Spontaneous spinal epidural hematoma; Chronic myeloid leukemia;
D O I
暂无
中图分类号
学科分类号
摘要
We present a case of a 55-year-old male with progressive neurological deficits that appeared dramatically. MRI detected a spinal epidural hematoma at the cervicothoracic junction and blood tests showed leukocytosis, mild anemia, and thrombocytosis. Spontaneous spinal epidural hematoma (SSEH) as the initial presentation of leukemia was diagnosed. Urgent posterior decompression was performed after 28 h from acute onset of backache, and the patient experienced remarkable improvement in neurological findings.
引用
收藏
页码:220 / 223
页数:3
相关论文
共 81 条
[1]  
Aoyagi N(2003)Review of spinal epidural cavernous hemangioma Neurol Med Chir (Tokyo) 43 471-475
[2]  
Kojima K(2004)Spinal epidural hematoma induced by leukemia Orthopedics 27 864-866
[3]  
Kasai H(2003)Spontaneous hematoma of the iliac psoas muscle in chronic myeloid leukemia. A case report Ann Med Interne (Paris) 154 183-186
[4]  
Banerjee R(1994)Spinal epidural haematoma: report of 11 cases and review of the literature Neuroradiology 36 456-459
[5]  
Stanley J(2007)MRI findings in spinal subdural and epidural hematomas Eur J Radiol 64 119-125
[6]  
Palumbo M(1992)Spontaneous spinal epidural hematoma causing paraplegia: resolution and recovery without surgical decompression Neurosurgery 30 108-111
[7]  
Bauduceau O(1990)The spontaneous spinal epidural hematoma. A study of the etiology J Neurol Sci 98 121-138
[8]  
Revel T(1998)Spontaneous spinal epidural hematoma with spinal cord compression complicating plasma cell myeloma. A case report Spine 23 2432-2435
[9]  
Fogelman J(1998)Nine cases of nontraumatic spinal epidural hematoma Neurol Med Chir (Tokyo) 38 718-723
[10]  
Amadou S(1996)Spontaneous spinal epidural hematoma: findings at MR imaging and clinical correlation Radiology 199 409-413