CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2020; 17(01): 50-52
DOI: 10.1055/s-0040-1713076
Case Report

Posttraumatic Acute Spinal Epidural Hematoma of the Dorsolumbar Region

Amit Agrawal
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Uma Maheshwara Reddy V.
2   Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Kuraparthy Brinda
3   Department of Anesthesia, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Luis R. Moscote-Salazar
4   Faculty of Medicine, Neurosurgeon-Critical Care, Center for Biomedical Research (CIB), University of Cartagena, Cartagena de Indias, Bolivar, Colombia
,
Keerthana Dhanireddy
2   Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
› Author Affiliations

Abstract

In spite of the relative common occurrence of spinal injuries, spinal epidural hematomas (SEHs) are rare lesions. Depending on the onset, site, size, and presence of neurological deficits, they can be treated conservatively or surgically. In the presented article, we report an uncommon case of posttraumatic dorsolumbar SEH and discuss the characteristic magnetic resonance imaging (MRI) imaging findings of epidural fat in the cases of traumatic spinal hematomas.



Publication History

Article published online:
17 June 2020

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  • References

  • 1 Ricart PA, Verma R, Fineberg SJ. et al. Post-traumatic cervical spine epidural hematoma: Incidence and risk factors. Injury 2017; 48 (11) 2529-2533
  • 2 Al-Mutair A, Bednar DA. Spinal epidural hematoma. J Am Acad Orthop Surg 2010; 18 (08) 494-502
  • 3 Tamburrelli FC, Meluzio MC, Masci G, Perna A, Burrofato A, Proietti L. Etiopathogenesis of traumatic spinal epidural hematoma. Neurospine 2018; 15 (01) 101-107
  • 4 Foo D, Rossier AB. Post-traumatic spinal epidural hematoma. Neurosurgery 1982; 11 (1, Pt 1) 25-32
  • 5 Deok Heon L, Tak-Hyuk O, Jong-Chul L, Kyoung Hoon L. Delayed posttraumatic spinal epidural hematoma: importance of early surgical treatment for neurologic deficits. J Korean Soc Traumatol 2016; 29: 176-179
  • 6 Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev 2003; 26 (01) 1-49
  • 7 Pan G, Kulkarni M, MacDougall DJ, Miner ME. Traumatic epidural hematoma of the cervical spine: diagnosis with magnetic resonance imaging. Case report. J Neurosurg 1988; 68 (05) 798-801
  • 8 Caron T, Bransford R, Nguyen Q, Agel J, Chapman J, Bellabarba C. Spine fractures in patients with ankylosing spinal disorders. Spine 2010; 35 (11) E458-E464
  • 9 Heppner PA, Monteith SJ, Law AJ. Spontaneous spinal hematomas and low-molecular-weight heparin. Report of four cases and review of the literature. J Neurosurg Spine 2004; 1 (02) 232-236
  • 10 Hsieh CT, Chiang YH, Tang CT, Sun JM, Ju DT. Delayed traumatic thoracic spinal epidural hematoma: a case report and literature review. Am J Emerg Med 2007; 25 (01) 69-71
  • 11 Awad JN, Kebaish KM, Donigan J, Cohen DB, Kostuik JP. Analysis of the risk factors for the development of post-operative spinal epidural haematoma. J Bone Joint Surg Br 2005; 87 (09) 1248-1252
  • 12 Birkenmaier C, Seitz S, Wegener B. et al. Acute paraplegia after vertebroplasty caused by epidural hemorrhage. A case report. J Bone Joint Surg Am 2007; 89 (08) 1827-1831
  • 13 Di Gaeta A, Capobianco E. Chronic extradural spinal hematoma after previous trauma. Eur J Radiol Open 2015; 2: 55-57
  • 14 Scott BB, Quisling RG, Miller CA, Kindt GW. Spinal epidural hematoma. JAMA 1976; 235 (05) 513-515
  • 15 Levitan LH, Wiens CW. Chronic lumbar extradural hematoma: CT findings. Radiology 1983; 148 (03) 707-708
  • 16 Zilkha A, Irwin GA, Fagelman D. Computed tomography of spinal epidural hematoma. AJNR Am J Neuroradiol 1983; 4 (05) 1073-1076
  • 17 Kumar VAK, Sandeep Y, Reddy VU, Samudrala VD, Agrawal A. Posttraumatic acute spinal subdural hematoma of the spine. IJNT 2017; 14: 53-55
  • 18 Yi K-C, Paeng SH, Jung YT. et al. Spontaneous resolution of a traumatic lumbar epidural hematoma with transient paraparesis. Nerve 2016; 2: 71-73
  • 19 Kulkarni MV, McArdle CB, Kopanicky D. et al. Acute spinal cord injury: MR imaging at 1.5 T. Radiology 1987; 164 (03) 837-843
  • 20 Boukobza M, Haddar D, Boissonet M, Merland JJ. Spinal subdural haematoma: a study of three cases. Clin Radiol 2001; 56 (06) 475-480
  • 21 Post MJ, Becerra JL, Madsen PW. et al. Acute spinal subdural hematoma: MR and CT findings with pathologic correlates. AJNR Am J Neuroradiol 1994; 15 (10) 1895-1905
  • 22 Panciani PP, Cornali C, Agnoletti A, Esposito G, Ronchetti G, Fontanella M. Recovery after delayed surgery in a case of spinal subdural hematoma. Case Rep Neurol Med 2013; 2013: 310854