• Neurosurgery · Aug 1990

    Case Reports

    Acute spinal intradural extramedullary hematoma: a nonsurgical approach for spinal cord decompression.

    • K Schwerdtfeger, W Caspar, S Alloussi, M Strowitzki, and F Loew.
    • Department of Neurosurgery, University of Saarland Medical School, Homburg/Saar, Federal Republic of Germany.
    • Neurosurgery. 1990 Aug 1; 27 (2): 312-4.

    AbstractThe authors present the case of a 60-year old man with a spontaneous spinal intradural hematoma in the thoracic and lumbar region, which was caused by anticoagulant therapy and led to a severe progressive transverse lesion. After substitution of coagulation factors, a small catheter was inserted into the subarachnoid space via a lumbar puncture. By alternating irrigation and suction removal of the blood clot, restoration of the cerebrospinal fluid passage was possible along with a marked improvement in the neurological deficits. At 8 months' follow-up, the patient had completely recovered from the severe paraparesis and bladder dysfunction.

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