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KMID : 1155520120070030213
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Anesthesia and Pain Medicine
2012 Volume.7 No. 3 p.213 ~ p.216
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Acute spontaneous spinal epidural hematoma -A report of two cases-
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Seok Jung-Ho
Jeon Jin-Woo
Lim Yun-Hee
Woo Seung-Hoon
Lee Woo-Young
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Abstract
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A spontaneous spinal epidural hematoma (SSEH) is a rare disease that accompanies severe axial pain in the spine with various levels of paralysis depending on the location of the hematoma. A SSEH is mainly caused by a coagulating disorder or anticoagulants medication, while certain cases relate this disease with spinal inflammatory conditions. The early diagnosis of a SSEH is important for its treatment. Most cases with neurologic symptoms can be treated with an immediate laminectomy and decompression. If the neurologic symptom improves within 12 hours, a conservative treatment is effective; however few cases have been reported. We report this case with a review of the relevant literature.
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KEYWORD
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Antiplatelet agent, Spinal apoplexy, Spontaneous spinal epidural hematoma
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