Subacute traumatic spinal epidural hematoma: case report
ABSTRACT: Spinal Epidural
Hematoma (SEDH) is a very rare case, and may occur as a result of trauma, but
may also develop spontaneously in patients with bleeding disease. The incidence
of spontaneous SEDH was 0.1 per 100,000 people annually. Traumatic SEDH is
extremely rare. Patients with spontaneous SEDH typically present with acute onset
of severe back pain and rapidly develop signs of compression of the spinal cord
or cauda equina. SEDH occurring spontaneously or after minimal trauma has been
attributed most often to a venous source. Early diagnosis and a prompt surgical
intervention are usually with excellent outcome especially in cases with
progressive neurological findings. Magnetic resonance imaging (MRI) is the
technique of choice for diagnosis of SEDH. We report a case of a traumatic SEDH
in a 4 years old boy with distinct neurologic deficits and completely recovered
after emergency laminectomy evacuation was performed.
Author: Eka J. Wahjoepramono
Journal Code: jpkedokterangg050004
