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KMID : 1001920110490040231
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Journal of Korean Neurosurgical Society
2011 Volume.49 No. 4 p.231 ~ p.233
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Chronic Spinal Epidural Hematoma Related to Kummell’s Disease
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Kim Hyeun-Sung
Lee Seok-Ki
Kim Seok-Won
Shin Ho
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Abstract
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Chronic spinal epidural hematoma related to Kummell’s disease is extremely rare. An 82-year-old woman who had been managed conservatively for seven weeks with the diagnosis of a multi-level osteoporotic compression fracture was transferred to our institute. Lumbar spine magnetic resonance images revealed vertebral body collapse with the formation of a cavitary lesion at L1, and a chronic spinal epidural hematoma extending from L1 to L3. Because of intractable back pain, a percutaneous vertebroplasty was performed. The pain improved dramatically and follow-up magnetic resonance imaging obtained three days after the procedure showed a nearly complete resolution of the hematoma. Here, we present the rare case of a chronic spinal epidural hematoma associated with Kummell’s disease and discuss the possible mechanism.
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KEYWORD
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Spinal epidural hematoma, Kummell’s disease, Percutaneous vertebroplasty
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