AI Article Synopsis
- Spontaneous spinal epidural hematoma is a rare condition that causes sudden, severe neurological symptoms and can lead to serious complications if treatment is delayed.
- A 42-year-old female experienced sudden numbness, weakness in her legs, and urinary retention; an MRI revealed a ventral epidural hematoma, and she underwent surgery to relieve the pressure.
- Timely surgical intervention is critical for recovery, although emerging non-surgical treatments are being explored on a case-by-case basis.
Article Abstract
Spontaneous spinal epidural hematoma is a rare predominantly idiopathic entity which can prompt acute neurologic symptoms and if not managed in time can lead to devastating outcomes. High index of suspicion is required for early diagnosis on MRI for a prompt management of patients showing sudden neurologic deficits. Our patient was 42-year-old female who presented with sudden onset of numbness followed by weakness in both lower limbs and urinary retention without any comorbidity or any medication. MRI whole spine done within 14 hours of symptom onset showed ventral epidural hematoma without any vascular malformation. Immediate decompressive laminectomy with evacuation of hematoma improved power in both lower limbs with regaining bowel and bladder function. The key here is timely surgical decompression of the hematoma for a favorable neurosurgical outcome. Although there is a recent development towards non-surgical treatment, it needs to be well established yet and require such approach on case-to-case basis.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8213979 | PMC |
| http://dx.doi.org/10.1016/j.radcr.2021.05.044 | DOI Listing |
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