Acute spinal epidural hematoma: A case report and review of the literature
Yıl: 2020 Cilt: 26 Sayı: 4 Sayfa Aralığı: 628 - 631 Metin Dili: İngilizce DOI: 10.14744/tjtes.2019.60956 İndeks Tarihi: 21-10-2020
Acute spinal epidural hematoma: A case report and review of the literature
Öz: Spinal epidural hematoma (SEH) is a rare but a significant cause of spinal cord compression and neurologic deficits. Its etiology is usuallyunknown and requires emergency intervention. The present study aims to review the clinical significance, treatment strategies and clinicaloutcomes of traumatic SEH with a rare case presentation. Our patient was a 42-year-old female who presented with back pain andloss of sensation and strength in the legs. The patient did not have any disease and did not use anticoagulant drugs. The patient developednumbness in her legs half an hour after having a traditional back walking massage due to occasional back pain. She was paraplegicand anesthetic when seen in our clinic. Thoracic computed tomography (CT) and magnetic resonance imaging (MRI) revealed posteriorepidural hemorrhage at Th3-Th4 levels. In the 12th hour, the hematoma was evacuated by an emergency decompressive hemilaminectomy.At the postoperative 24th hour, the patient had symptomatic improvement, and in the sixth month, the patient was mobilizedwith support. SEH is a rare condition that should be considered in patients with sudden onset of back pain and extremity weakness.Although the gold standard diagnostic tool is MRI, CT is often sufficient to avoid delayed surgery. Immediate surgical decompression(laminectomy/hemilaminectomy) should be performed in cases diagnosed with SEH with neurological deficits.
Anahtar Kelime: Akut spinal epidural hematom: Olgu sunumu ve literatürün gözden geçirilmesi
Öz: Spinal epidural hematom (SEH) omurilik basısı ve nörolojik defisit gelişiminin nadir fakat önemli bir sebebidir. Etyoloji genellikle bilinmez ve acil cerrahi müdahele gerektirir. Bu çalışmada amacımız, nadir bir olgu sunumu ile travmatik SEH’nin klinik önemi, tedavi stratejileri ve tedavi sonrası son durumlarını gözden geçirmektir. Olgumuz 42 yaşında kadın hasta olup, sırt ağrısı, bacaklarda his ve kuvvet kaybı ile başvurdu. Hastanın herhangi bir hastalığı yoktu ve antikoagülan ilaç kullanımıyordu. Hasta, ara sıra olan sırt ağrısından dolayı geleneksel sırt masajı yaptırdıktan yarım saat sonra bacaklarında uyuşma ve kuvvet kaybı ile başvurdu. Hasta kliniğimizde görüldüğünde paraplejik ve T4 altında anestezik idi. Torakal bilgisayarlı tomografi (BT) ve manyetik rezonans görüntülerde (MRG) T3-T4 seviyelerinde posteriyor epidural akut hemoraji izlendi. On ikinci saatte, acil dekompresif hemilaminektomi işlemi yapılarak hematom boşaltıldı. Ameliyat sonrası 24. saatte hastada semptomatik iyileşme görüldü ve altıncı ayda hasta destekle mobilize oluyordu. SEH, ani başlayan sırt ağrısı ve ekstremite güçsüzlüğü olan olgularda akla gelmesi gereken nadir bir durumdur. Tanıda altın standart inceleme MRG olmakla beraber, cerrahi müdahaleyi geciktirmemek için BT çoğu zaman yeterli olabilmektedir. Tanısı koyulan ve nörolojik defisiti olan olgularda acil cerrahi dekompresyon (laminektomi/hemilaminektomi) yapılmalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | AKAR E, öğrenci a, Koban O, yılmaz m, dalbayrak s (2020). Acute spinal epidural hematoma: A case report and review of the literature. , 628 - 631. 10.14744/tjtes.2019.60956 |
| Chicago | AKAR EZGİ,öğrenci ahmet,Koban Orkun,yılmaz mesut,dalbayrak sedat Acute spinal epidural hematoma: A case report and review of the literature. (2020): 628 - 631. 10.14744/tjtes.2019.60956 |
| MLA | AKAR EZGİ,öğrenci ahmet,Koban Orkun,yılmaz mesut,dalbayrak sedat Acute spinal epidural hematoma: A case report and review of the literature. , 2020, ss.628 - 631. 10.14744/tjtes.2019.60956 |
| AMA | AKAR E,öğrenci a,Koban O,yılmaz m,dalbayrak s Acute spinal epidural hematoma: A case report and review of the literature. . 2020; 628 - 631. 10.14744/tjtes.2019.60956 |
| Vancouver | AKAR E,öğrenci a,Koban O,yılmaz m,dalbayrak s Acute spinal epidural hematoma: A case report and review of the literature. . 2020; 628 - 631. 10.14744/tjtes.2019.60956 |
| IEEE | AKAR E,öğrenci a,Koban O,yılmaz m,dalbayrak s "Acute spinal epidural hematoma: A case report and review of the literature." , ss.628 - 631, 2020. 10.14744/tjtes.2019.60956 |
| ISNAD | AKAR, EZGİ vd. "Acute spinal epidural hematoma: A case report and review of the literature". (2020), 628-631. https://doi.org/10.14744/tjtes.2019.60956 |
| APA | AKAR E, öğrenci a, Koban O, yılmaz m, dalbayrak s (2020). Acute spinal epidural hematoma: A case report and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi, 26(4), 628 - 631. 10.14744/tjtes.2019.60956 |
| Chicago | AKAR EZGİ,öğrenci ahmet,Koban Orkun,yılmaz mesut,dalbayrak sedat Acute spinal epidural hematoma: A case report and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.4 (2020): 628 - 631. 10.14744/tjtes.2019.60956 |
| MLA | AKAR EZGİ,öğrenci ahmet,Koban Orkun,yılmaz mesut,dalbayrak sedat Acute spinal epidural hematoma: A case report and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.4, 2020, ss.628 - 631. 10.14744/tjtes.2019.60956 |
| AMA | AKAR E,öğrenci a,Koban O,yılmaz m,dalbayrak s Acute spinal epidural hematoma: A case report and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(4): 628 - 631. 10.14744/tjtes.2019.60956 |
| Vancouver | AKAR E,öğrenci a,Koban O,yılmaz m,dalbayrak s Acute spinal epidural hematoma: A case report and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(4): 628 - 631. 10.14744/tjtes.2019.60956 |
| IEEE | AKAR E,öğrenci a,Koban O,yılmaz m,dalbayrak s "Acute spinal epidural hematoma: A case report and review of the literature." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.628 - 631, 2020. 10.14744/tjtes.2019.60956 |
| ISNAD | AKAR, EZGİ vd. "Acute spinal epidural hematoma: A case report and review of the literature". Ulusal Travma ve Acil Cerrahi Dergisi 26/4 (2020), 628-631. https://doi.org/10.14744/tjtes.2019.60956 |
