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Spontaneous Spinal Epidural Hematoma: An Atypical Clinical Presentation and Discussion of Management
Journal article   Open access   Peer reviewed

Spontaneous Spinal Epidural Hematoma: An Atypical Clinical Presentation and Discussion of Management

Jason A. Shah, Nick N. Patel and Keith W. Michael
International journal of spine surgery, Vol.14(2), pp.158-161
04/01/2020
DOI: 10.14444/7030
PMCID: PMC7188101
PMID: 32355620
url
https://doi.org/10.14444/7030View
Published (Version of record) Open Access

Abstract

Introduction: Spontaneous spinal epidural hematoma (SSEH) is a rare but potentially devastating condition if not appropriately identified and managed. A few case series exist regarding SSEH and certain risk factors have been described; however, much continues to be unknown regarding the pathophysiology and optimal management. Case Presentation: We present the case of SSEH in a healthy 33-year-old African American woman with no identifiable risk factors who initially presented with significant neurologic compromise. This case reports discusses pertinent clinical presentation, imaging findings, and surgical management. The patient demonstrated near-complete neurologic recovery, highlighting the need for prompt identification and intervention. Conclusions: We believe this case adds to the limited literature surrounding the topic, particularly in regard to diagnosis and surgical management. It is essential for clinicians to be cognizant of SSEH for timely diagnosis and treatment, even in patients without obvious risk factors.
Life Sciences & Biomedicine Science & Technology Surgery

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