Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1400
10
1
gregorian
2022
1
1
8
1
online
1
fulltext
en
Case Series of Spinal Epidural Hematoma: A Single Center Experience
Spine
Case Series
<div style="text-align: justify;"><strong>Background and Importance:</strong> Spinal epidural hematoma (EDH) is a rare clinical condition that occurs spontaneously in patients with a spine injury. Most patients require laminectomy and evacuation of spinal EDH. Magnetic resonance imaging (MRI) of the spine with magnetic resonance angiography is the chosen radiological investigation. This study aims to review cases with spinal EDH and discuss its etiology, pathogenesis, investigations, and various management strategies.<br>
<strong>Case Presantation:</strong> This is a retrospective analysis study of five spinal EDH cases admitted at our institute from August 2020 to August 2021. Four patients underwent laminectomy and evacuation, while one was managed conservatively because of rapid clinical improvement. The patients’ functional outcomes were assessed by using American spinal cord injury association impairment scale (AIS) before and after treatment. Four of the five patients who participated in this study had significant neurological improvement. One of the patients who presented late to us had poor neurological recovery despite the surgical intervention.<br>
<strong>Conclusion:</strong> Surgical evacuation of spinal EDH within 48 hours of the onset of symptoms ensures good clinical recovery. Spontaneous resolution is possible in some cases if patients have an improvement in their neurological status early in the course of the disease. Hence, we conclude that prompt treatment in spinal EDH patients ensures maximum functional recovery. Patients with spinal EDH need close follow-up and periodical neurological examination.</div>
Spinal Epidural Hematoma, Cord compression, Laminectomy
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0
http://irjns.org/browse.php?a_code=A-10-474-1&slc_lang=en&sid=1
Jayaprakash
Duraisamy
10031947532846008283
10031947532846008283
Yes
Consultant Neurosurgeon, Department of Neurosurgery, PSG Institute of Medical Sciences and Research, Coimbatore, India
P.R
Rajkumar
10031947532846008284
10031947532846008284
No
Consultant Neurosurgeon, Department of Neurosurgery, PSG Institute of Medical Sciences and Research, Coimbatore, India
K.S
Thirumurthy
10031947532846008285
10031947532846008285
No
Senior Consultant Neurosurgeon, Department of Neurosurgery, PSG Institute of Medical Sciences and Research, Coimbatore, India
Akshay
Rajkumar
10031947532846008286
10031947532846008286
No
Junior Resident, Department Of Surgery, Rajah Muthiah Medical College, Annamalai University, Chidambaram, India