Acute traumatic spinal epidural hematoma: imaging and neurologic outcome

D Lee Bennett; Michael J George; Kenjirou Ohashi; Georges Y El-Khoury; Joshua J Lucas; Mathew C Peterson

doi:10.1007/s10140-004-0371-2

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Acute traumatic spinal epidural hematoma: imaging and neurologic outcome

Journal article

Peer reviewed

Acute traumatic spinal epidural hematoma: imaging and neurologic outcome

D Lee Bennett, Michael J George, Kenjirou Ohashi, Georges Y El-Khoury, Joshua J Lucas and Mathew C Peterson

Emergency radiology, Vol.11(3), pp.136-144

04/2005

DOI: 10.1007/s10140-004-0371-2

PMID: 16028317

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Abstract

The purpose of this study was to present MRI characteristics of traumatic spinal epidural hematomas (TSEHs) and to evaluate their effect on neurologic outcome. A retrospective analysis was performed of all 74 cases in which patients underwent emergent spinal MRI in the setting of acute trauma at our institution's Emergency Department between June 2002 and January 2003. MRI studies were evaluated for the presence of a TSEH. CT studies were evaluated for the presence of osseous trauma. Patient data were collected from medical records on the initial neurologic status at admission and at 6 months after injury. Twenty-seven of 74 patients had a spinal fracture and a TSEH. Twenty-five of 74 patients had a spinal fracture with no TSEH. Twenty-two of 74 patients had normal imaging studies. Six-month follow-up of neurologic status demonstrated no statistically significant difference in neurologic outcome between patients with spinal fractures and TSEH and those with spinal fractures but no TSEH. If a spinal fracture and abnormal neurologic exam are present, the neurologic outcome at 6 months is not worsened by the presence of a TSEH.

Emergency Service, Hospital

Humans

Male

Treatment Outcome

Case-Control Studies

Spinal Injuries - therapy

Hematoma, Epidural, Spinal - etiology

Magnetic Resonance Imaging

Spinal Injuries - complications

Neurologic Examination

Spinal Fractures - complications

Adult

Female

Hematoma, Epidural, Spinal - diagnosis

Retrospective Studies

Spinal Fractures - therapy

Details

Title: Subtitle: Acute traumatic spinal epidural hematoma: imaging and neurologic outcome
Creators: D Lee Bennett - Department of Radiology, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA. Lee.Bennett@uiowa.edu
Michael J George
Kenjirou Ohashi
Georges Y El-Khoury
Joshua J Lucas
Mathew C Peterson
Resource Type: Journal article
Publication Details: Emergency radiology, Vol.11(3), pp.136-144
Publisher: United States
DOI: 10.1007/s10140-004-0371-2
PMID: 16028317
ISSN: 1070-3004
eISSN: 1438-1435
Language: English
Date published: 04/2005
Academic Unit: Radiology
Record Identifier: 9983983658402771

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