Spinal hematoma

Authors

  • Antonio Javier García Medina Hospital Clínico Quirúrgico León Cuervo Rubio
  • Grecia María Giniebra Marín Especialista de Primer Grado en Medicina General Integral. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Rio
  • Juan Carlos Bermejo Sánchez Especialista de Primer Grado en Neurocirugía. Hospital Clínico Quirúrgico “León Cuervo Rubio”. Pinar del Rio.

Keywords:

Spinal epidural hematoma/diagnosis, Laminectomy.

Abstract

Epidural spinal hematoma is an infrequent finding in medical practice. A case of a female patient suffering from a pain in the dorsal region, with its way of presentation was also considered as an unusual and confuse occurrence; it started with precordial pain irradiating left arm, back and stomach, establishing a dorsal transverse myelitis. The result of a nuclear magnetic resonance is presented with diagnostic considerations of different types of spinal hematomas. A laminectomy from D3 to D6 was performed and a large epidural hematoma from D1 to D8 was evacuated.

Downloads

Download data is not yet available.

Author Biography

Antonio Javier García Medina, Hospital Clínico Quirúrgico León Cuervo Rubio

Especialista de 2do grado en Neurología. Profesor Auxiliar, Máster en Longevidad Satisfactoria. Jefe del Grupo Provincial de Neurología de Pinar del Rio. Jefe del Departamento de Neurología Hospital Clínico Quirúrgico Docente "León Cuervo Rubio". Pinar del Río.

References

1. Varela Rois P, García JG, Portas MR, Cueto PM. Hematomas espinales: la apoplejía espinal. Neurología [ìnternet]. 2010; 25(02): 96-103. Disponible en: http://www.elsevier.es/sites/default/files/elsevier/pdf/295/295v25n02a13150551pdf001.pdf

2. Thongsong N, Settawatohawanich S. An uncommon cause of compressive myelopathy misdiagnosed as transverse myelitis. J Med Assoc Thai [internet]. 2012 May; 95(5): 727-9 Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22994036

3. Yang SM, Suk-Hyung K, Kyoung-Tae K, Won Park S, Lee WS. Spontaneous spinal epidural hematomas associated with acute myocardial infartion treatment. Korean Circ J [Internet]. 2011 Dec; 41(12): 759-62. Available from: http://synapse.koreamed.org/search.php?where=aview&id=10.4070/kcj.2011.41.12.759&code=0054KCJ&vmode=FULL

4. Kukita CC. Spinal hematoma complicating a Churg-Strauss Síndrome patient: a previously unreported Association. Clincs (Sao Paulo): 2012 Jul; 67(7): 855-7

5. Kang MS, Shin YH, Lee CD, Lee SH. Delayed neurological deficits induced by an epidural hematoma associated with a thoracic osteoporotic compression fracture. Neurol Med Chir (Tokyo) [internet]. 2012; 52(9): 633-6. Available from: https://www.jstage.jst.go.jp/article/nmc/52/9/52_3198/article

6. Gelabert M, Iglesias M, Gonzalez J. Spontaneous spinal epidural hematomas: review of 8 cases. Neurologia. 2003 Sep; 18(7): 357-63.

7. Braun P, Kazmi K, Nogués-Meléndez P. MRI findings in spinal subdural and epidural hematomas. Eur J Radiol [internet]. 2007 oct; 64(1): 119-5. Available from: http://www.sciencedirect.com/science/article/pii/S0720048X07000915

8. Braun P, Nogués-Meléndez P, Montoliu Fornás G, Martínez Martínez JC, Marcos Naranjo E. Hematoma subdural espinal espontáneo: hallazgos en resonancia magnética a propósito de 2 casos. Radiology [Internet] 2007; 49(1): 47-50. Available from: http://www.elsevier.es/sites/default/files/elsevier/pdf/119/119v49n01a13098762pdf001.pdf

9. Rubin MN, Rubistein AA. Vascular deseases of the spinal cord. Neurol Clin [internet]. 2013 Feb; 31(1): 153-81. Available from: http://www.sciencedirect.com/science/article/pii/S0733861912000655

10. Kim T, Lee ChH, Hyun SJ, Hoon Yoon S, Kim KJ, Kim HJ. Clinical outcomes of spontaneous spinal epidural hematoma: A comparative study between conservative and surgical treatment. J Korean neurosurg Soc [Internet]. 2012 Dec; 52(6): 523-7. Available from: http://synapse.koreamed.org/search.php?where=aview&id=10.3340/jkns.2012.52.6.523&code=0032JKNS&vmode=FULL

11. Amiris AR, Fouyas IP, Cro S, Casey A TH. Postoperative spinal epidural hematoma (SEH): Incidencia, risk factors, onset, and management. Spine J [internet]. 2012 Dec 4; 10: s1529-9430. Available from: http://www.sciencedirect.com/science/article/pii/S1529943012013046

12. An JX, Qi-wu F, Sullivan EA, Williams JP. Spine surgery may cause more spinal epidural hematomas than spinal puncture. Chin Med J (Engl)[Internet]. 2003 Jan; 126(2): 286-9. Available from: http://www.cmj.org/periodical/PDF/201311750636920.pdf

Downloads

Published

2013-04-28

How to Cite

1.
García Medina AJ, Giniebra Marín GM, Bermejo Sánchez JC. Spinal hematoma. Rev Ciencias Médicas [Internet]. 2013 Apr. 28 [cited 2025 Sep. 1];17(2):187-94. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/1151

Issue

Vol. 17 No. 2 (2013)

Section

CASE REPORTS

License

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/