Diagnosis and treatment of spontaneous spinal epidural hematomas (report of 5 cases)
YAN Yan
SONG Jian
HUANG He
YAO Shun
CAO Cheng-long
DU Hao
XU Guo-zheng
Abstract：Objective To explore the clinical features and treatment of the spontaneous spinal epidural hematomas (SSEDH). Methods The clinical data of 5 patients with SSEDH treated from October, 2011 to November, 2014 were analyzed retrospectively. The neurological dysfunction was evaluated by International Standards for Neurological Classification of Spinal Cord Injury of Americal Spinal Injury Association (ASIA). ASIA grade was A in 1 patient, B in 1, C in 2 and D in 1 on admission to hospital. Everyone received the MRI examination. Of 5 patients, 4 were treated by surgery and 1 conservatively treated. The epidural vascular malformation was found in patient undergoing the surgery. Results All the patients were followed up from 3 to 36 months. Frankel grade was C in 1 patient and D in 4. Conclusions MRI examination should be performed in the SSEDH patients with severe spinal cord dysfunction or large hematomas. The SSEDH patients with small hematomas may be conservatively treated.
Keywords：Spontaneous spinal epidural hematomaClinical manifestationsDiagnosisTreatment
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 7-9 )