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KMID : 0367419960390030436
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Journal of Korean Pediatric Society
1996 Volume.39 No. 3 p.436 ~ p.440
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A Case of Spninal Epidural Hematoma due to Arteriovenous Malformation
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Abstract
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Spinal epidural hematoma results from various causes such as use of anticoagulants. Hemorrhagic diathesis, pregnancy, labor, arteriovenous malformation and spinal anesthesia as well as idiopathic orgin. We report a 3-year-old boy who was found to
have
spinal epidural hematoma and presented with lower back pain and fever. He developed paraplegia of lower legs after two consecutive lumbar punctures during two days. The lesion of spinal epidural hematoma was not found with lumbar spinal MRI but
with
cervico-thorasic one, because the lesion was at the C7-T6 level. Laminectomy was done to evacuate the hematoma and some specimen was obtained, of which pathologic finding was arteriovenous malformation. The body is receiving physical therapy
continuously due to unsatisfactory results with hematoma aspiration procedure and laminectomy treatment.
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