Two Cases of Spontaneous Spinal Epidural Hematoma

  • Koshiba Tamiko
    Department of Orthopaedic Surgery, Kagoshima-Seikyo Hospital, Kagoshima, Japan
  • Shigemori Osamu
    Department of Orthopaedic Surgery, Kagoshima-Seikyo Hospital, Kagoshima, Japan
  • Yukita Yoshihito
    Department of Orthopaedic Surgery, Kagoshima-Seikyo Hospital, Kagoshima, Japan
  • Suruga Yasuaki
    Department of Orthopaedic Surgery, Kagoshima-Seikyo Hospital, Kagoshima, Japan
  • Matsumoto Shinya
    Department of Orthopaedic Surgery, Kagoshima-Seikyo Hospital, Kagoshima, Japan
  • Kawano Daisuke
    Department of Orthopaedic Surgery, Kagoshima-Seikyo Hospital, Kagoshima, Japan

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Other Title
  • 非外傷性脊髄硬膜外血腫の2例

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Recent treatment of spinal epidural hematoma is controversial. We experienced two cases of spontaneous spinal epidural hemotoma. Case 1: A 15-year-old man had transient neck pain in early morning. Neurological deficit was absent. MRI showed posterior epidural mass from C6 to Th1. Conservative treatment was performed and symptoms improved. Case 2: A 79-year-old woman had low back pain and paraplegia, bladder dysfunction in early morning. MRI showed mass from Th12 to L4. Sixteen hours later, operative decompression was performed, and three months later, paraplegia and bladder dysfunction improved.

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