Spontaneous Spinal Epidural Hematoma Causing Paraplegia: A Case Report  

作　　者：Oumar Coulibaly Lamine Habibou Olory Togbé Régis Nizar El Fatemi Rachid Gana Rachid Maaqili Mohamed Jiddane Fouad Bellakhdar 

机构地区：[1]Department of Neurosurgery, HopitalIbn Sina, Rabat, Morocco [2]Department of Neurosurgery, HopitalIbn Sina, Rabat, Morocco [3]Department of Neurosurgery, HopitalIbn Sina, Rabat, Morocco

出　　处：《World Journal of Neuroscience》2015年第4期270-274,共5页神经科学国际期刊（英文）

摘　　要：A spontaneous spinal epidural hematoma without any identified etiology is a very rare entity. We report here a 44 years old woman admitted within our department for 04 days of severe back pain complicated rapidly of bilateral lower-limbs weakness and urinary retention. Neurological examination found a complete paraplegia (0/5 stergh), with incomplete sensory deficit below the T-10 level, bowel and bladder dysfunction, decreased deep and superficial reflex. MRI with different sequences showed a large epidural mass lesion with slightly high signal intensity on T1-weighted images and heterogeneous low signal intensity on T2-weighted images from T11 to L1 suggesting an epidural hematoma. She underwent an urgent total laminectomy from T11 to L1 following by a complete removal of a large dark and compact epidural hematoma compressing the spinal cord. Operatively, there’s no sign suggesting an AVM. Postoperative course was uneventful and she was discharged ten days after surgery with complete recovery.A spontaneous spinal epidural hematoma without any identified etiology is a very rare entity. We report here a 44 years old woman admitted within our department for 04 days of severe back pain complicated rapidly of bilateral lower-limbs weakness and urinary retention. Neurological examination found a complete paraplegia (0/5 stergh), with incomplete sensory deficit below the T-10 level, bowel and bladder dysfunction, decreased deep and superficial reflex. MRI with different sequences showed a large epidural mass lesion with slightly high signal intensity on T1-weighted images and heterogeneous low signal intensity on T2-weighted images from T11 to L1 suggesting an epidural hematoma. She underwent an urgent total laminectomy from T11 to L1 following by a complete removal of a large dark and compact epidural hematoma compressing the spinal cord. Operatively, there’s no sign suggesting an AVM. Postoperative course was uneventful and she was discharged ten days after surgery with complete recovery.

关 键 词：Spontaneous SPINAL EPIDURAL HEMATOMA SPINAL Cord Compression MRI LAMINECTOMY 

分 类 号：R6[医药卫生—外科学]