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Duraisamy J, P.R R, K.S T, Rajkumar A. Case Series Of Spinal Epidural Hematoma - A Single Center Experience. Iran J Neurosurg 2022; 8 :18-18
URL: http://irjns.org/article-1-307-en.html
1- Tamilnadu Dr.MGR Medical University, Chennai, Tamilnadu, India. , jaidurai2011@gmail.com
2- Tamilnadu Dr.MGR Medical University, Chennai, Tamilnadu, India.
3- Annamalai University, Chidambaram,Tamilnadu, India.
Abstract:   (433 Views)
Background and Importance:
Spinal Epidural Hematoma (EDH) is a rare clinical entity that occurs spontaneously and in patients with spine injury. Most of the patients require laminectomy and evacuation of spinal EDH. MRI of the spine with MRA is the radiological investigation of choice. The study aimed to review the cases with spinal EDH and discuss its etiology, pathogenesis, investigations, and various management strategies.
Case Presentation:
This study was a retrospective analysis of five spinal EDH cases admitted at our institute in the time period between August 2020 and August 2021. Four patients underwent laminectomy and evacuation, while one was managed conservatively because of rapid clinical improvement. The patients’ functional outcome was assessed by the use of American spinal cord injury association Impairment Scale (AIS) before and after treatment. Four of the five patients included in our study had significant neurological improvement. One of the patient who presented late to us had poor neurological recovery despite the surgical intervention.
 Surgical evacuation of spinal EDH within 48 hours of onset of symptoms ensures good clinical recovery. Spontaneous resolution is possible in some cases if they have an improvement in neurological status early in the course of the disease. Hence we conclude that immediate prompt treatment in spinal EDH patients ensures maximum functional recovery. Patients with spinal EDH needs close follow-up and periodical neurological examination
Type of Study: Case Series | Subject: Spine

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