Can spontaneous spinal epidural haematoma be managed safely without operation? A report of four cases

Journal of Neurology Neurosurgery and Psychiatry

Volumn 69, Issue 6, 2000, Pages 816-819

  Duffill, J ^a   Sparrow, O C ^a   Millar, J ^a   Barker, C S ^a  

^a SOUTHAMPTON GENERAL HOSPITAL   (United Kingdom)

Author keywords

Epidural; Haematoma; Spine; Treatment outcome

Indexed keywords

ADULT; AGED; ARTICLE; CASE REPORT; CLINICAL FEATURE; CONSERVATIVE TREATMENT; DIAGNOSTIC IMAGING; DIAGNOSTIC PROCEDURE; DISEASE COURSE; EPIDURAL HEMATOMA; FEMALE; HUMAN; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; SPINAL CORD HEMORRHAGE; TREATMENT OUTCOME;

ADULT; AGED; FEMALE; HEMATOMA, EPIDURAL, CRANIAL; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; SPINAL CORD;

EID: 0033651181     PISSN: 00223050     EISSN: None     Source Type: Journal    
DOI: 10.1136/jnnp.69.6.816     Document Type: Article

References (24)

1. Foo D, Rossier AB. Preoperative neurological status in predicting surgical outcome of spinal epidural haematomas. Surg Neurol 1988;15:389-401.
2. Holtas S, Heiling M, Lonntoft M. Spontaneous spinal epidural hematoma: findings at MR imaging and clinical correlation. Radiology 1996;199:409-13.
3. Lawton MT, Porter RW, Heiserman JE, et al. Surgical management of spinal epidural haematoma: relationship between surgical timing and neurological outcome. J Neurosurg 1995;83:1-7.
4. Costabile G, Husag L, Probst C. Spinal epidural haematoma. Surg Neurol 1984;21:489-92.
5. Langmayr JJ, Ortler M, Dessl A, et al. Management of spontaneous extramedullary spinal haematomas: results in eight patients after MRI diagnosis and surgical decompression. J. Neurol Neurosurg Psychiatry 1995;59:442-447.
6. Priest WM. Epidural haemorrhage due to haemophilia. Lancet 1935;ii:1289-91.
7. McQuarrie IG. Recovery from paraplegia caused by spontaneous spinal epidural haematoma. Neurology 1978;28:224-8.
8. Markham JW, Lynge HN, Stahlman GEB. The syndrome of spontaneous spinal epidural hematoma. J Neurosurg 1967; 26:334-42.
9. Rothfus WE, Chedid, MK, Deeb ZL, et al. MR imaging in the diagnosis of spontaneous spinal epidural haematomas. J Comput Assist Tomogr 1987;11:851-4.
10. Avrahami E, Tadmor R, Ram Z, et al. MR demonstration of spontaneous acute epidural hematoma of the thoracic spine. Neuroradiology 1989;31:89-92.
11. Boukobza M, Guichard JP, Boissonet M, et al. Spinal epidural haematoma: report of 11 cases and review of the literature. Neuroradiology 1994;36:456-9.
12. Lovblad KO, Baumgartner RW, Zambaz BD, et al. Nontraumatic spinal epidural hematomas. MR features. Acta Radiologica 1997;38:8-13.
13. Grollmus J, Hoff J. Spontaneous spinal epidural haemorrhage: good results after early treatment. J Neurol Neurosurg Psychiatry 1975;38:89-90.
14. Packer NP, Cummins BH. Spontaneous epidural haemorrhage: a surgical emergency. Lancet 1978;i:356-8.
15. Groen RJ. van Alphen HA. Operative treatment of spontaneous spinal epidural hematomas: a study of the factors determining postoperative outcome. Neurosurgery 1997;41:1218-20.
16. Anderson TJ, Donaldson IM. Spontaneous resolution of cervical epidural haematoma. Postgrad Med J 1989;65:488-90.
17. Bersen PLJA, Haan J, Vielvove GJ, et al. Spinal epidural hematoma visualized by magnetic resonance imaging. Neuroradiology 1988;30:280.
18. Clarke DB, Bertrand G, Tampieri D. Spontaneous spinal epidural hematoma causing paraplegia: resolution and recovery without surgical decompression. Neurosurgery 1992;30:108-11.
19. Clarke CE, Hall DJ, Zagoon A, et al. Successful conservative management of spontaneous spinal extradural haematoma. Br J Neurosurg. 1993;7:209-211.
20. Saito S, Katsube H, Kobayashi Y. Spinal epidural hematoma with spontaneous recovery demonstrated by magnetic resonance imaging. Spine 1994;19:483-6.
21. Wagner S, Forsting M, Hacke W, et al. Spontaneous resolution of a large spinal epidural hematoma: case report. Neurosurgery 1996;38:816-18.
22. Jamjoom ZA. Acute spontaneous spinal epidural hematoma: the influence of magnetic resonance imaging on diagnosis and treatment. Surg Neurol 1996;46:345-9.
23. Davies DG, Weeks RD. Acute spontaneous spinal epidural haematoma with temporary resolution. Br J Neurosurg 1992;6:63-6.
24. Chen CJ, Fang W, Chen CM, et al. Spontaneous spinal epidural haematomas with repeated remission and relapse. Neuroradiology 1997;39:737-40.