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Iran Red Crescent Med J · Jan 2012
Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma.
- M Gundag, M H Seyithanoglu, K Dogan, S Kitis, and N Ozkan.
- Department of Neurosurgery, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
- Iran Red Crescent Med J. 2012 Jan 1;14(1):45-8.
AbstractSymptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered as an indication for emergent surgical decompression. We aimed to investigate a patient with a SSEH that completely resolved clinically and radiographically, without surgical treatment. The patient presented three days after the sudden onset of back pain, numbness, and weakness. Magnetic Resonance Imaging (MRI) revealed a posterior thoracolumbar epidural hematoma extending from the level of T10 to L2 with significant cord compression. Decompression was recommended but he refused surgery and was managed conservatively. One month later, weakness totally recovered and hematoma was absent on MRI.
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