Spontaneous Spinal Epidural Hematoma. A Case Report.:A Case Report

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We reported a case of spontaneous spinal epidural hematoma which was diagnosed by MRI. A 37-year-old man had acute and severe back pain which radiated toward his legs. 4 hours later he developed weakness of both legs. On admission (3 days later) he showed flaccid paralysis and urinary incontinence. MRI demonstrasted an epidural posterior mass (Th9-Th11) which compressed the spinak cord anteriorly 5 days later laminectomy was performed and revealed the hematoma at posterior epidural space. Histopathological diagnosis was A-V malformation. At follow-up 1 months after surgery MRI showed the presence of mass lesion in the same position. At follow-up 4 months after surgery the mass was diminshed but he had no improvement in neurological recovery. We think MRI is the first choice for the diagnosis and the follow-up method of spinal epidural hematoma.
西日本整形・災害外科学会の論文