RT Journal Article
SR Electronic
T1 Spontaneous Spinal Epidural Hematoma: An Atypical Clinical Presentation and Discussion of Management
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 158
OP 161
DO 10.14444/7030
VO 14
IS 2
A1 JASON A. SHAH
A1 NICK N. PATEL
A1 KEITH W. MICHAEL
YR 2020
UL http://ijssurgery.com//content/14/2/158.abstract
AB 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.