Spontan Spinal Epidural Hematom

Yayın Yılı: 2024
Sayfa Sayısı: 123-128
Kitap Dili : Türkçe

Anahtar Kelimeler


Spontaneous spinal epidural hematoma (SEH) is a rare but serious clinical condition characterized by the accumulation of blood in the spinal epidural space, often leading to acute neurological deficits due to spinal cord compression. This case report presents a 76-year-old female with lumbar pain and progressive lower limb weakness, diagnosed with SEH. Magnetic resonance imaging revealed an epidural hematoma compressing the spinal cord. Despite being on rivaroxaban for atrial fibrillation, no coagulation abnormalities were detected. Surgical intervention with laminotomy and hematoma evacuation led to significant neurological recovery. The case highlights the importance of early diagnosis and intervention in SEH management to prevent permanent neurological deficit and improve outcomes. This report also compares the clinical findings and treatment approaches with existing literature, providing insights into the optimal management of SEH.

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