SPONTANEOUS CERVICO-THORACIC SPINAL EPIDURAL HEMATOMA IN AN ELDERLY PATIENT: A RARE PRESENTATION

Authors

  • Reyaz Ahmed Para Sheri Kashmir Institute of Medical Sciences, Srinagar
  • Muzamil Latief Sheri Kashmir Institute of Medical Sciences, Srinagar
  • Huma Noor Sheri Kashmir Institute of Medical Sciences, Srinagar
  • Mohammadd Ashraf Khan Sheri Kashmir Institute of Medical Sciences, Srinagar

Keywords:

Spinal Epidural Hematoma, Mri, Surgical Evacuation

Abstract

Spontaneous spinal epidural hematoma (SSEH) is a rare entity. SSEH is an accumulation of blood in the vertebral epidural space in the absence of trauma or iatrogenic procedure like lumbar puncture.The incidence of SSEH has been estimated at 0.1 patients per 100,000 individuals and represents less than 1% of spinal space-occupying lesions .Here we are presenting case of a 65year old female hypertensive on treatment with controlled blood pressure, who presented with sudden onset paraplegia and weakness of muscles of hand, associated with urinary and bowel incontinence that started 6 hours before presenting to Emergency Room .Patient was subjected to MRI spine that revealed a collection in spinal epidural space,hypointense in T1W images and hyperintense in T2W images, extending from C6-C7 to T1-T2 suggestive of acute / subacute epidural hematoma. In our case all possible causes of an epidural haematoma were ruled out by relevant investigations. Patient was subjected to surgical evacuation of hematoma after 48 hours of presentation. Perioperative and Postoperative period was uneventfull . Sensations over involved areas improved. Motor weakness also improved from Grade III to Grade IV+ in bilateral lower limbs and from Grade II to Grade IV in small muscles of hand and triceps, however Patient persisited with urinary incontinence.

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Published

2013-12-31

How to Cite

Para, R. A. ., Latief, M. ., Noor, H. ., & Khan, M. A. (2013). SPONTANEOUS CERVICO-THORACIC SPINAL EPIDURAL HEMATOMA IN AN ELDERLY PATIENT: A RARE PRESENTATION. National Journal of Medical Research, 3(04), 424–427. Retrieved from https://njmr.in/index.php/file/article/view/695

Issue

Section

Case Report