• Spine · Apr 2009

    Case Reports

    Metastatic carcinoma related long segment thoracic spinal epidural hematoma: a case report.

    • Hung-Shih Lin and Shiu-Jau Chen.
    • Department of Neurosurgery, Mackay Memorial Hospital, No. 92 Section 2 Chung Shan North Road, Taipei, Taiwan.
    • Spine. 2009 Apr 1;34(7):E266-8.

    Study DesignCase report.ObjectiveTo report a long segment epidural hematoma with thoracic cord compression caused by a metastatic carcinoma.Summary Of Background DataTo our knowledge, there have been no previous reports of spontaneous spinal epidural hematoma caused by metastatic carcinoma.MethodsA 60-year-old woman with back pain and progressive leg weakness suddenly developed complete paraplegia and anesthesia below T8. A thoracic spine MRI showed an epidural hematoma and metastatic tumor. We describe the clinical course, radiographic imaging, operative findings, and treatment results.ResultsDespite immediate surgery, the patient failed to have any significant improvement in her neurologic symptoms. A previously unsuspected primary lung tumor was diagnosed. She died 6 months after spine surgery.ConclusionSpinal epidural hematoma can occur in association with metastatic tumors in that area.

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