2021, Number 2
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Rev Cubana Neurol Neurocir 2021; 11 (2)
Epidural hematoma spontaneous cervicodorsal
Valdés CRJ
Language: Spanish
References: 16
Page: 1-10
PDF size: 226.04 Kb.
ABSTRACT
Objective: To describe the clinical and image characteristics of a female patient with spontaneous cervicodorsal epidural hematoma, his treatment and evolution.
Clinical case report: The case of a patient who debuted with headache, cervicalgia, discomfort in his lower right limb and difficulties for intercourse and urination is reported. She underwent a computed tomography and a magnetic column resonance. A spontaneous cervicodorsal epidural hematoma was confirmed. The treatment was conservative, methylprednisolone, furosemide, tramadol and gabapentin. She was discharged from the hospital on the fifteenth day, with satisfactory evolution.
Conclusions: Using imaging examination, the diagnosis of the patient could be verified; and using a conservative treatment, surgical intervention was avoided. This patient had a favorable outcome using a less invasive approach.
REFERENCES
García AJ, Giniebra GM, Bermejo JC. Hematoma espinal. Revista de Ciencias Médicas de Pinar del Río. 2013;17(2):187-94.
González García J, Gelabert González M, Allut A, Fernández Villa J, López García E, García Pravos A. Hematoma epidural cervical espontáneo. Rev Neurología. 2001;31(12):1281-2.
Tejero MA, Guerrero AL, Iglesias F, Gutiérrez F, Martín J, Sánchez F, et al. Hematomas cerebrales espontáneos múltiples. Descripción de una serie y revisión de la bibliografía. Rev Neurología. 2009;48(7):346-7.
Figueroa J, Devine JG. Spontaneous spinal epidural hematoma: literature review. Journal of Spine Surgery. 2017;3(1):58-63.
Baek BS, Hur JW, Kwon KY, Lee HK. Spontaneous spinal epidural hematoma. Journal of Korean Neurosurgical Society. 2008;44(1):40-2.
Belinchón J, Campos J, Merino J, Gallego J, Barcia C. Hematoma epidural lumbar crónico espontáneo. Neurocirugía. 2005;16(6):533-6.
Aksay E, Kiyan S, Kitis O, Yuruktumen A. A rare diagnosis in emergency department: spontaneous spinal epidural hematoma. Am J Emerg Med. 2008;26(7):835.e3-835.e5. Doi: https://doi.org/10.1016/j.ajem.2008.01.026
Domenicucci M, Mancarella C, Santoro G, Dugoni DE, Ramieri A, Arezzo MF, et al. Spinal epidural hematomas: personal experience and literature review of more than 1000 cases. J Neurosurg Spine. 2017;27(2):198-208.
Taha MM, Elsharkawy AM, Al HA, Albakry A. Spontaneous cervical epidural hematoma: A case report and review of literature. Surgical neurology international. 2019;10:247.
Hoon S, Young B, Rim Y, Seung H, In J, Won H, et al. Relapsed spontaneous spinal epidural hematoma associated with aspirin and clopidogrel. Neurological Sciences. 2011;32(4):687-9.
Wei-hsiu L, Heng-ta C, Yung-hsiao C, Guann-juh C. Spontaneous spinal epidural hematoma of thoracic spine: a rare case report and review of literature. The American Journal of Emergency Medicine. mayo 2007 [citado: 11/02/2021];26(3). Disponible en: https://www.ajemjournal.com/article/S0735-6757(07)00397-X/fulltext
Kong CW, To WWK. Spontaneous spinal epidural haematoma during pregnancy. J Obstet Gynaecol. 2018;38(1):129-31.
Varela-Rois P, Regueira-Portas M, Prado-San F, González-García J, Lama A, Rodríguez-Fernández MJ, et al. Hematoma subdural espinal espontáneo. Rev Neurología. 2009;48(3):156-8.
Ruiz-del Barrio I, Antón-Aranda E. Hematoma epidural espinal espontáneo y síndrome de Brown-Séquard. Revista de Neurología. abril 2009 [citado: 02/02/2021];48(07). Disponible en: https://neurologia.com/articulo/2008718
Ergun T, Lakadamyali H, Gokay E. A posterior epidural mass causing paraparesis in a 20-year-old healthy individual. Int J Emerg Med. 2009 [citado: 01/02/2021];2:195-8. Disponible en: https://intjem.biomedcentral.com/articles/10.1007/s12245-009-0121-z
Sánchez JL, Ruiz J, Martínez A, García JC, Aduna M, Vicente I. Complicación espinal hemorrágica secundaria a una punción lumbar diagnóstica. Rev Neurología. 2009;48(8):418-20.
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