• Neurosurgery · Jan 1992

    Case Reports

    Spontaneous spinal epidural hematoma causing paraplegia: resolution and recovery without surgical decompression.

    • D B Clarke, G Bertrand, and D Tampieri.
    • Department of Neurosurgery, Montreal Neurological Hospital, McGill University, Quebec, Canada.
    • Neurosurgery. 1992 Jan 1; 30 (1): 108-11.

    AbstractSpontaneous spinal epidural hematomas are well-recognized but rare entities. The standard treatment for these hematomas has been prompt surgical evacuation. The authors report a case of a 76-year-old man who precipitously became paraplegic secondary to a spontaneous spinal epidural hematoma and then experienced the complete resolution of his neurological deficit and the hematoma. We conclude that conservative (nonoperative) management of spontaneous spinal epidural hematomas may be appropriate in those instances in which there is early and sustained neurological recovery confirmed by radiological resolution of the lesion.

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